睡眠质量对老年髋关节置换术后谵妄的影响探究

The Impact of Sleep Quality on Postoperative Delirium in Elderly Patients Undergoing Hip Replacement Surgery

目的:本研究探讨分析睡眠质量对老年髋关节置换手术后患者谵妄发生的影响。方法:选取2021年3月至2022年5月福建省泉州市中国人民解放军联勤保障部队第910医院收治的接受过老年髋关节置换手术的患者80例作为研究对象。患者入院后,由医务人员针对患者进行睡眠质量评估,采用匹兹堡睡眠质量指数量表对患者进行评价,根据最终结果将患者分为睡眠正常组与睡眠障碍组,每组40例。对患者均进行髋关节置换手术,并对患者的谵妄发生状况进行评价。结果:睡眠障碍组中患者的谵妄发生率为40.00%,高于正常组的7.50%,差异有统计学意义(P<0.05)结论:本研究表明,老年髋关节置换手术后,睡眠质量与谵妄之间存在显著关联。睡眠障碍组患者相较于睡眠正常组,更容易发生谵妄事件。这提示在老年髋关节置换术后的护理中,应当重视患者的睡眠质量,并采取相应措施来改善睡眠,以降低谵妄的风险。进一步研究可以探究具体的睡眠改善措施,以及其如何对减少术后谵妄发生产生积极的影响。

Objective:This study aims to explore and analyze the impact of sleep quality on the delirium in elderly patients undergoing hip replacement surgery.Methods:The experimental period of this study was set from March 2021 to May 2022,and researchers included 80 patients who had undergone elderly hip replacement surgery in our hospital as the research subjects during this period.After the patient was admitted,medical staff conducted a sleep quality assessment on the patient,using the Pittsburgh Sleep Quality Index table to evaluate the patient.Based on the final results of the patient,they were divided into a normal sleep group(n=40) and a sleep disorder group(n=40).The researchers performed hip replacement surgery on all patients,evaluated their delirium occurrence status,and analyzed the differences between the groups.Results:In this study,the incidence of delirium was significantly higher in patients with sleep disorders compared to those with normal sleep.The incidence of delirium was 16(40.00%) in patients with sleep disorders and 3(7.50%) in patients with normal sleep.The difference was significant(P<0.05).Conclusion:This study indicates a significant correlation between sleep quality and delirium after hip replacement surgery in the elderly.Patients in the sleep disorder group are more likely to experience delirium events compared to those in the normal sleep group.This suggests that in the care of elderly patients after hip replacement surgery,attention should be paid to the quality of sleep and corresponding measures should be taken to improve sleep and reduce the risk of delirium.Further research can explore specific sleep improvement measures and how they have a positive impact on reducing postoperative delirium.