期刊文献+

新型功能位约束背心在老年髋部骨折术后谵妄患者中的应用

下载PDF
导出
摘要 术后谵妄是一种手术应激导致的急性中枢性神经系统功能障碍,表现为可逆、具有波动性的精神状态的急性改变,如注意力下降、定向力障碍、睡眠障碍、错觉与幻觉、情感障碍等^([1-2])。髋部骨折是65岁以上老年人常见的骨折类型,老年髋部骨折首选手术治疗,但术后患者易发生谵妄,其发生率为13.0%~48.6%^([3])。术后谵妄患者不但无法自主配合治疗护理,而且存在较多安全隐患,会延长患者躯体功能恢复时间,增加坠床、非计划拔管等不良事件的发生^([4-5])。
机构地区 中山市中医院
出处 《护理与康复》 2022年第11期98-100,共3页 Journal of Nursing and Rehabilitation
基金 中山市卫健局科研立项,编号2017A020128。
  • 相关文献

参考文献4

二级参考文献75

  • 1Zywiel MG, Hurley RT, Perruccio AV, et al. Health economic im- plications of perioperative delirium in older patients 'after surgery for a fragility hip fracture[J]. J Bone Joint Surg Am, 2015, 97(10): 829-836. DOI: 10.2106/JBJS.N.00724.
  • 2Gottschalk A, Hubbs J, Vikani AR, et al. The impact of incident postoperative delirium on survival of elderly patients after surgery for hip fracture repair[J]. Anesth Analg, 2015, 121(5): 1336-1343. DOI: 10.1213lANE.0000000000000576.
  • 3Lee KH, Ha YC, Lee YK, et al. Frequency, risk factors, and prog- nosis of prolonged delirium in elderly patients after hip fracture surgery[J]. Clin Orthop Relat Res, 2011,469(9): 2612-2620. DOI: 10.1007/s 11999-011-1806-1.
  • 4Marcantonio ER, Flacker JM, Miehaels M, et al. Delirium is inde- pendently associated with poor functional recovery after hip frac- ture[J]. J Am Geriatr Soc, 2000, 48(6): 618-624.
  • 5Edelstein DM, Aharonoff GB, Karp A, et al. Effect of postopera- tive delirium on outcome after hip fracture[J]. Clin Orthop Relat Res, 2004(422): 195-200.
  • 6Kyziridis TC. Post- operative delirium after hip fracture treat- ment - a review of the current literature[J]. Psychosoc Med, 2006, 3: Doc01.
  • 7Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance[J]. BMJ, 2010, 341:c3704. DOI: 10.1136/bmj.c3704.
  • 8Bedford PD. Adverse cerebral effects of anaesthesia on old people [J]. Lancet, 1955, 269(6884): 259-263.
  • 9Trzepacz PT. Delirium. Advances in diagnosis, pathophysiology, and treatment[J]. Psychiatr Clin North Am, 1996, 19(3): 429-448.
  • 10Gustafson Y. Postoperative delirium--a challenge for the orthope- dic team[J]. Acta Orthop Scand, 2004, 75(4): 375-377.

共引文献114

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部