实施术后老年管理可能会降低接受重大骨科手术的老年人中术后狂妄的发生率
Yan Zou1, Tingzhi Deng1, Yu Xu1
1Department of Geriatrics, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha City, Hunan Province, China.
Journal of patient safety
|December 20, 2024
概括
在接受重大骨科手术的老年患者中,术后老年管理 (PGM) 显著降低了术后妄想. 这种综合性方法改善了患者的治疗结果和整体预后.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 术后护理 术后护理
背景情况:
- 接受重大骨科手术的老年患者患上术后妄想的风险很高.
- 有效的术后管理策略对于改善这一群体的结果至关重要.
研究的目的:
- 探索术后老年管理 (PGM) 与接受重大骨科手术的老年患者中术后狂妄的发生率之间的关联.
主要方法:
- 一项涉及350名75岁以上接受重大骨科手术的参与者的比较研究.
- PGM组接受了全面的管理,而对照组接受了标准的护理.
- 使用后勤回归分析来确定PGM和术后妄想之间的关联.
主要成果:
- 术后狂妄的患病率总体为13.71%.
- 与对照组 (14.29%) 相比,PGM组的 Delirium 发病率明显较低 (7.43%).
- 与PGM组妄风险降低相关的因素包括较低的查尔森并发症指数,较高的迷你cog得分,较低的混评估方法得分,较低的营养风险和较少的重大心血管不良事件.
结论:
- 术后老年管理显著降低了接受重大骨科手术的老年患者中术后妄想的发生率.
- 实施PGM可能会改善这些患者的整体预后.
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