摘要
目的 浅析老年神经外科手术患者采用基于风险评估与针对性护理干预进行住院期指导，为预防谵妄，提升医院护理管理水平做出成效。方法 选取2024年1月至2025年5月收治的老年神经外科手术患者40例，对照组采用常规ICU护理；干预组采用风险评估与针对性护理干预，对比临床护理效果。结果 干预组谵妄发生率低于对照组，对比差异显著（P<0.05）；干预组ICU住院时间短于对照组，对比差异显著（P<0.05）。结论 基于风险评估与针对性护理干预可有效降低老年神经外科手术患者谵妄的发生率，缩短ICU住院时间，值得临床推广应用。
关键词： 老年神经外科手术；围术期；谵妄；风险评估；针对性护理
Abstract
Objective To analyze the effectiveness of using risk assessment and targeted nursing interventions for inpatient guidance in elderly neurosurgical patients, in order to prevent delirium and improve hospital nursing management level. Methods Forty elderly neurosurgical patients admitted from January 2024 to May 2025 were selected, and the control group received routine ICU care; The intervention group used risk assessment and targeted nursing interventions to compare the clinical nursing effects. Results The incidence of delirium in the intervention group was lower than that in the control group, and the difference was significant (P<0.05); The ICU hospitalization time of the intervention group was shorter than that of the control group, and the difference was significant (P<0.05). Conclusion Risk assessment and targeted nursing interventions can effectively reduce the incidence of delirium in elderly neurosurgical patients, shorten ICU stay, and are worthy of clinical promotion and application.
Key words： Elderly neurosurgery surgery; Perioperative period; Delirium; Risk assessment; Targeted nursing
参考文献 References
[1] 章海慈,吴丹,徐蓓.基于PERMA模式的围术期干预策略在老年髋部骨折患者术后谵妄管理中的应用研究[J].中国现代手术学杂志,2025,29(01):63-68.
[2] 黄伟,吴奎,卢山,等.老年髋部骨折术后谵妄的围术期影响因素分析[J].国际精神病学杂志,2025,52(01):262-264+293.
[3] 周美艳,张雨涵,戚钰,等.围术期应用瑞马唑仑和丙泊酚对髋部骨折衰弱老年患者术后谵妄的影响[J].徐州医科大学学报,2024,44(11):787-790.
[4] 杜张鑫.围术期电针预处理对老年胃肠肿瘤患者术后谵妄影响的研究[D].延安大学,2024.
[5] 莫志伟,张浒,黄武生,等.围术期脑氧饱和度水平与老年人髋关节置换术后谵妄发生率的关系[J].吉林医学,2024, 45(05):1048-1052.
[6] 缪荣荣,刘俊,陈金花,等.综合干预措施在围术期老年髋部骨折患者术后谵妄发生的应用效果观察[J].智慧健康,2024,10(06):186-189.
[7] 江月琴,周晓丽.围术期快速康复护理模式对老年股骨颈骨折术后谵妄及睡眠质量的影响[J].世界睡眠医学杂志,2023,10(10):2309-2311.
[8] 薛玲,邹旭,夏吉长,等.认知行为疗法联合艾司西酞普兰缓解结直肠癌老年患者围术期焦虑状态及对术后谵妄发生的影响[J].中国临床新医学,2023,16(06):590-596.
[9] 李洁,蒋运兰,廖诗沁,等.老年人围术期睡眠障碍与术后谵妄发生风险关系的Meta分析[J].军事护理,2023, 40(06):96-100.
[10] 韩萍萍,戴琴,卞月琴.医护一体化服务应用于老年髋部骨折围术期谵妄患者中对其满意度的提升评价[J].中外医疗,2022,41(18):149-152+157.