集束化管理在老年髋部骨折术后谵妄患者并发症中的应用

The Application of Cluster Management in Treating Complications on Elderly Hip Fracture Patients with Delirium

目的:探讨集束化管理在老年髋部骨折术后谵妄患者并发症应用效果。方法:将100例老年髋部骨折术后谵妄患者分为对照组和研究组。对照组行常规护理,研究组行集束化管理,包括氧疗、呼吸功能训练、睡眠和疼痛管理、保温与灌注平衡、功能锻炼等。比较2组谵妄持续时间、睡眠、疼痛、不安全事件和不良反应等相关情况。结果:研究组谵妄持续时间、睡眠指数、疼痛评分、不安全事件、不良反应分别为(5.29±1.41d、8.14±1.72、3.14±0.81分、2%、14%)均低于对照组的(10.81±2.37d、11.36±3.57、6.12±1.78分、24%、40%),差异有统计学意义(P<0.05)。结论:集束化管理可降低老年髋部骨折术后谵妄患者不安全事件和不良反应发生率,改善睡眠,缓解疼痛和谵妄症状,有一定的临床应用价值。

[Objective]To investigate the application of cluster management in treatingcomplications on elderly hip fracture patients with delirium.[Method]100 elderly hip fracture patients with delirium were randomly divided into two groups.The control group were given conventional care,while the research group were given cluster management,including oxygen therapy,respiratory function training,sleep and pain management,body temperature and perfusion balance,functional exercise.The delirium duration time,sleep,pain,unsafe and adverse events were compared in the two groups.[Result]The delirium duration time,sleep index,pain,unsafe events and adverse events in the research group were5.29±1.41 d,8.14±1.72,3.14±0.81,2% and 14%, respectively, which were lower than those of the control group with 10.81±2.37 d,11.36±3.57,6.12±1.78,24% and 40%, respectively.The differences were statistically significant(P<0.05).[Conclusion]The cluster management can reduce the incidence of unsafe events and adverse reactions,improve sleep,relieve pain and delirium symptom,which has certain clinical application value.