谵妄预防护理方案在老年食管癌手术患者中的应用

[摘要] Abstract：Objective To investigate the clinical efficacy of preventive nursing interventions for postoperative delirium nursing in elderly patients undergoing surgical resection for esophageal cancer. Methods 〓A total of 108 patients undergoing radical surgery for esophageal cancer were enrolled and assigned to the control group and the observation group, with 54 cases in each group. Patients of both two groups were given routine care on esophageal cancer, and those in the observation group were given preventive nursing interventions, including modified respiratory function training, guidance of postoperative exercise, comic materials for preoperative visit, and plan for postoperative prophylactic analgesia. The anxiety of patients on the night before surgery, pain degree and the incidence of delirium within 72 hours after surgery were compared between two groups. Results 〓According to the Self-rating Anxiety Scale(SAS), there were 32(59.26%)patients in observation group and 44(79.63%)patients in the control group with moderate to severe anxiety on the night before surgery(P<0.05). According to the Prince-Henry score, there were 3(5.56%)patients in observation group and 10(18.52%)patients in the control group with grade 3-5 pain score within 72 hours after surgery(P<0.05). According to the Consciousness And Memory scale(CAM), there were 13(24.07%)patients in observation group and 24(44.44%)patients in the control group with positive delirium(P<0.05). Conclusion 〓According to influential factors of postoperative delirium such as pain, anxiety, hypoxemia and so on, the development and implementation of preventing nursing interventions are effective to reduce the risk of postoperative delirium in elderly esophageal cancer patients with surgical resection.

[学科分类] 护理学

[关键词] 食管肿瘤;谵妄;预防;护理方案;术后疼痛;焦虑