Journal of International Psychiatry

[Abstract] Objective To explore the effect of evidence-based practice of non-drug preventive nursing care for delirium during the awakening period of elderly hip surgery. Methods Eighty elderly hip surgery patients in our hospital from January 2019 to October 2020 were selected as the study subjects, and they were randomly divided into the control group and the observation group by the digital table method. Patients in the control group were given routine care during the recovery period, and the observation group was treated with evidence-based care for non-drug prevention of delirium. The confusion assessment method (CAM) to assess the occurrence of delirium in the two groups during the recovery period. The montreal cognitive assessment scale (MoCA) was used to assess cognitive function before leaving the recovery room. The riker sedation and restlessness score (SAS) during recovery were assessed. Results The incidence of delirium in the recovery period of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). The MoCA score of the observation group was significantly higher than that of the control group, and the SAS score was significantly lower than that of the control group. The difference was statistically significant (P<0.05). Conclusion The use of evidence-based care for non-drug prevention of delirium during the recovery period of elderly hip surgery can effectively reduce the incidence of delirium in the recovery room, reduce restlessness during the recovery period, and improve the cognitive function of patients.

Key words Elderly Hip Surgery; Recovery Period; Delirium; Non-Drug Preventive Care; Evidence-Based Practice