A型主动脉夹层术后谵妄的早期评估及护理的应用效果探讨

Discussion on the Application Effect of Early Assessment and Nursing Care for Postoperative Delirium in Type A Aortic Dissection

目的:探讨为A型主动脉夹层手术患者进行术后谵妄早期评估及护理的效果。方法:选取2021年1月—2023年7月于滨州医学院附属医院行手术治疗的A型主动脉夹层患者76例为研究对象,通过随机数字表法分为对照组及观察组,各38例。对照组采用术后常规护理,观察组采用术后谵妄早期评估及护理。比较两组不良事件发生率、临床转归指标。结果:观察组术后谵妄发生率及再次气管插管率低于对照组,差异有统计学意义(P<0.05);观察组术后谵妄持续时间、重症监护病房停留时间、机械通气时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论:为A型主动脉夹层患者进行术后谵妄早期评估及护理的效果显著,可降低谵妄发生率及再次气管插管率,促进病情康复。

Objective:To investigate the effect of early assessment and care of postoperative delirium for patients operated with type A aortic dissection.Methods:Seventy-six patients with type A aortic dissection who underwent surgical treatment in the Affiliated Hospital of Binzhou Medical College from January 2021 to July 2023 were selected as the study subjects,and were divided into the control group and the observation group by the randomized numerical table method,with thirty-eight cases in each group.The control group adopted postoperative routine care,and the observation group adopted postoperative delirium early assessment and care.The incidence of adverse events and clinical regression indexes of the two groups were compared.Results:The incidence rate of postoperative delirium and the rate of re-tracheal intubation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the duration of postoperative delirium,the duration of stay in the intensive care unit,the duration of mechanical ventilation,and the duration of hospitalization in the observation group were shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of early assessment and care of postoperative delirium for patients with type A aortic dissection is significant,which can reduce the incidence of delirium and the rate of re-tracheal intubation,and promote the recovery of the condition.