基于危险因素的针对性护理对主动脉夹层术后谵妄的预防作用
Preventive Effect of Targeted Nursing Based on Risk Factors on Delirium after Aortic Dissection
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年，卷(期) |
2020, 47(6) |
| 作者 |
|
| 作者单位 |
郑州市第七人民医院 ;
|
| 摘要 |
【摘要】探讨基于危险因素的针对性护理对主动脉夹层术后谵妄的预防作用。方法 选择我院2018年1月至2020年1月104例主动脉夹层患者，数字表法均分为两组，各54例，对照组开展常规护理，观察组进行基于危险因素的针对性护理。比较术后3d、5d、7d时蒙特利尔认知评估量表（MoCA）、简易智力状态量表(MMSE)，比较住院期间谵妄发生率，并采用谵妄分级量表(DRS-R98)评估严重程度。结果 两组术后MoCA评分、MMSE评分逐渐升高，术后3d、5d、7d观察组MoCA评分、MMSE评分均显著高于对照组，（P＜0.05）；观察组谵妄发生率显著低于对照组，DRS-R98分级显著轻于对照组，（P＜0.05）。结论 基于危险因素进行个性化的针对性护理有助于提升主动脉夹层患者术后认知功能，降低谵妄发生率以及严重程度。
|
| Abstract |
[Abstract] Objective To explore the preventive effect of targeted nursing based on risk factors on delirium after aortic dissection. Methods A total of 104 patients with aortic dissection from January 2018 to January 2020 in our hospital were selected, and they were divided into two groups using digital table method, 54 cases each. The control group carried out routine nursing, and the observation group carried out targeted nursing based on risk factors. The Montreal Cognitive Assessment Scale (MoCA) and the Mini-Mental State Scale (MMSE) at 3d, 5d, and 7d after surgery were compared. The incidence of delirium during hospitalization were compared. The delirium grading scale (DRS-R98) were used to assess the severity. Results The postoperative MoCA score and MMSE score of the two groups gradually increased, and the MoCA score and MMSE score of the observation group were significantly higher than that of the control group on the 3d, 5d, and 7d postoperatively (P<0.05). The incidence of delirium in the observation group was significantly lower than that in the control group, and the DRS-R98 grade was significantly lighter than that in the control group (P<0.05). Conclusion Personalized targeted care based on risk factors can help improve the postoperative cognitive function of patients with aortic dissection and reduce the incidence and severity of delirium.
|
| 关键词 |
关键词：危险因素；针对性护理；主动脉夹层；谵妄；预防.
|
| KeyWord |
Key words Risk Factors; Targeted Care; Aortic Dissection; Delirium; Prevention.
|
| 基金项目 |
|
| 页码 |
1272-1275 |
张菲菲*.
基于危险因素的针对性护理对主动脉夹层术后谵妄的预防作用 [J].
国际精神病学杂志.
2020; 47; (6).
1272 - 1275.