Impact of anesthesia recovery nursing based on ERAS concept on postoperative delirium in elderly patients undergoing total hip arthroplasty
基于ERAS理念的麻醉苏醒期护理对全麻髋关节置换术老年患者术后谵妄的影响

摘要

目的 探究基于加速康复外科（ERAS）理念的麻醉苏醒期护理对接受全身麻醉髋关节置换术的老年患者术后谵妄的作用。方法 本研究以我院接受全身麻醉髋关节置换术的老年患者80例作为样本纳入研究范畴，运用随机数字表法将其划分为两个组别，对照组40例采用常规护理；研究组40例采用基于ERAS理念的麻醉苏醒期护理。对比两组的护理效果。结果 与对照组相比较，研究组患者术后谵妄的发生概率以及症状持续时间均呈现出明显更低的特点，差异具有统计学意义（P＜0.05）。结论 针对全麻髋关节置换术老年患者采用基于ERAS理念的麻醉苏醒期护理能够有效降低患者术后谵妄发生的可能性，促进患者快速恢复。

Abstract

Objective To investigate the effect of anesthesia recovery nursing based on the Enhanced Recovery After Surgery (ERAS) concept on postoperative delirium in elderly patients undergoing total hip arthroplasty under general anesthesia.
Methods This study included 80 elderly patients who underwent total hip arthroplasty under general anesthesia at our hospital as the sample. They were divided into two groups using a random number table method. The control group of 40 patients received conventional care, while the study group of 40 patients received anesthesia recovery care based on the ERAS concept. The nursing outcomes of the two groups were compared.
Results Compared with the control group, the patients in the study group showed a significantly lower incidence of postoperative delirium and shorter duration of symptoms, with the differences being statistically significant (P<0.05).
Conclusion   For elderly patients undergoing total hip replacement under general anesthesia, anesthesia recovery care based on the ERAS concept can effectively reduce the likelihood of postoperative delirium and promote rapid recovery.