老年患者颈椎术后谵妄的安全护理

Elderly Patients with Cervical Vertebra of Postoperative Delirium Safety Nursing

目的探讨颈椎术后发生谵妄的老年患者安全护理方法。方法选取2012年1月—2014年9月该院发生颈椎术后谵妄的老年患者26例,进行随机分组研究,其中对照组实施常规护理,观察组在实施常规护理的基础上同时进行安全护理干预,比较分析两组患者的术后意外事件发生率、患者对护理工作满意度、患者恢复期间不适度。结果观察组跌倒、坠床、压疮、导管滑脱等术后意外事件发生率为7.69%,显著低于对照组23.08%,差异有统计学意义(P<0.05);观察组患者及家属对护理服务的满意度为84.62%,显著高于对照组53.85%,两组比较差异有统计学意义(P<0.05);观察组患者中度以上不适率为46.15%明显低于对照组76.92%,差异具有统计学意义(P<0.05)。结论老年颈椎术后谵妄的安全护理有利于降低术后谵妄意外事件发生率,并且提高了患者及家属对护理服务的满意度,同时改善了患者恢复期间的不适度,值得在临床护理实践中进一步推广。

Objective To explore the postoperative delirium in the elderly patients of cervical vertebra safety nursing methods. Methods From January 2012 to September 2012 happened in our elderly patients with postoperative delirium 26 cases of cervical vertebra, randomized study, the control group routine nursing, the observation group on the basis of conventional nursing safety nursing intervention at the same time, the comparative analysis of two groups of patients with postoperative incidence of accidents, patients satisfaction of nursing work, patients not modest recovery period. Results Fall in the observation group, drop the bed, pressure sores, catheter slippage postoperative accident incidence was 7.69%, significantly lower than the control group 23.08%, the difference statistically significant （P 〈 0.05）; Observation group of patients and their families to nursing service satisfaction was 84.62%,significantly higher than that of control group 53.85%, two groups compare the difference was statistically significant （P 〈 0.05）; Observation group of patients with moderate discomfort rate is above 46.15% to 76.92%, significantly lower than the control group statistically significant difference （P 〈 0.05）. Conclusion Elderly cervical safety nursing care of postoperative delirium is beneficial to reduce the incidence of postoperative delirium accidents, and improve the patient and family satisfaction to nursing service, at the same time improve the patients during recovery is not measurable, is worth popularizing in clinical nursing practice further.