Observation on the application effect of predictive nursing in delirium after anesthesia for hip fractures in the elderly
预见性护理在老年髋部骨折麻醉术后发生谵妄中的应用效果观察

摘要

目的 研究对老年髋部骨折患者在其麻醉手术后应用实施预见性护理时对其所展现的实施效果与实施价值。方法 本次研究的病例数为100例，他们均来自于2023年12月-2024年12月期间我院收治护理的老年髋部骨折患者，根据奇偶数随机原则将其平均分为对照组和观察组，分别应用常规护理干预和预见性护理干预，并对两组患者的临床指标、生活质量评分、患者满意程度以及谵妄发生率进行评价分析。结果 经干预后观察组患者包括疲倦程度、恶心呕吐及疼痛程度在内的临床指标情况和谵妄发生率均更低，包括躯体、角色、情绪、认知及社会在内的生活质量评分和患者满意程度更高。组间数值P＜0.05，说明存在对比意义。结论 对老年髋部骨折患者在其麻醉手术后应用实施预见性护理时其护理效果显著，能够有效改善患者的生活质量和疼痛程度，缩短患者的功能改善时间和康复时间，提高患者的临床满意程度，减少患者麻醉术后谵妄的发生情况，值得在临床上进行推广。

Abstract

Objective To study the implementation effect and value of predictive nursing for elderly patients with hip fractures after anesthesia and surgery.
Methods The number of cases in this study was 100. They all came from elderly patients with hip fractures who were admitted and cared for in our hospital from December 2023 to December 2024. According to the odd and even number randomization principle, they were evenly divided into the control group and the observation group, and were respectively applied with conventional nursing intervention and predictive nursing intervention. The clinical indicators, quality of life scores, patient satisfaction levels and the incidence of delirium of the two groups of patients were evaluated and analyzed.
Results After the intervention, the clinical indicators of patients in the observation group, including the degree of fatigue, nausea and vomiting, and the degree of pain, as well as the incidence of delirium, were all lower. The quality of life scores including physical, role, emotion, cognition and society, and the degree of patient satisfaction were higher. The inter-group value P < 0.05 indicates the existence of comparative significance.
Conclusion   When predictive nursing is applied to elderly patients with hip fractures after anesthesia surgery, the nursing effect is significant. It can effectively improve the quality of life and pain degree of patients, shorten the functional improvement time and recovery time of patients, increase the clinical satisfaction of patients, and reduce the occurrence of postoperative delirium of patients after anesthesia. It is worthy of promotion in clinical practice.