预防老年髋部骨折患者术后谵妄的多学科协作护理模式探讨

Effect of multi-disciplinary cooperative nursing mode in prevention of postoperative delirium in elderly patients with hip fracture

  • 摘要: 目的 探讨多学科协作护理模式对老年髋部骨折患者术后谵妄的干预效果。 方法 将2018年本科室收治的老年髋部骨折手术患者121例按照住院时间分为对照组59例和观察组62例。对照组采取常规护理,观察组实施多学科协作下的针对性护理干预,比较2组患者谵妄的发生率、住院时间、住院日均费用、住院患者满意度。 结果 观察组患者谵妄发生率、住院时间、住院日均费用显著低于对照组,住院患者满意度显著高于对照组(P<0.05)。 结论 多学科协作护理模式降低了老年髋部骨折患者术后谵妄的发生率,缩短了住院时间,降低了住院日均费用,提高了患者满意度。

     

    Abstract: Objective To explore the effect of multi-disciplinary cooperative nursing mode on postoperative delirium in elderly patients with hip fracture. Methods According to the length of hospital stay, 121 elderly patients with hip fracture in 2018 were divided into control group(n=59)and observation group(n=62). The control group was given routine nursing, and the observation group was given targeted nursing intervention based on multi-disciplinary cooperation nursing mode. The incidence rate of delirium, length of hospital stay, average daily cost of hospitalization and satisfaction degree were compared between the two groups. Results The incidence rate of delirium, length of hospital stay and average daily cost of hospitalization in the observation group were significantly lower than those in the control group, and the satisfaction degree was significantly higher than that in the control group(P<0.05). Conclusion Multi-disciplinary cooperative nursing mode can reduce the incidence rate of postoperative delirium in elderly patients with hip fracture, shorten the length of hospital stay, reduce the average daily cost of hospitalization, and improve the satisfaction degree of patients.

     

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