Analysis and nursing of postoperative delirium related factors in elderly orthopedic patients
骨科老年患者术后谵妄相关因素分析及护理

摘要

目的 重点分析骨科老年患者术后谵妄相关因素及其护理干预。方法 筛选2023年1月-2023年12月在本院骨科实施手术治疗的62例老年患者作为研究对象，根据术后谵妄发生情况分为谵妄组（n=22）与非谵妄组（n=40），收集患者临床资料，分析影响患者发生术后谵妄的相关因素，并进行多因素logistic回归分析，同时总结护理措施。结果 经单因素分析显示，手术时间、术中出血量、麻醉方式、疼痛情况、术后低氧血症是影响患者术后谵妄的相关因素（P＜0.05）；经多因素回归分析显示，手术时间、术中出血量、麻醉方式、疼痛情况是导致老年骨科患者发生术后谵妄的危险因素（P＜0.05）。结论 影响骨科老年患者发生术后谵妄的因素较多，临床需结合患者情况，积极采取干预措施，以促进患者康复，保证手术治疗效果。

Abstract

Objective To focus on analyzing the factors related to postoperative delirium in elderly orthopedic patients and their nursing interventions.
Methods 62 elderly patients who underwent surgical treatment in the orthopedics department of our hospital from January 2023 to December 2023 were selected as the study subjects. They were divided into a delirium group (n=22) and a non delirium group (n=40) based on the incidence of postoperative delirium. Clinical data of patients were collected, and factors affecting postoperative delirium were analyzed. Multivariate logistic regression analysis was performed, and nursing measures were summarized.
Results Univariate analysis showed that surgical time, intraoperative blood loss, anesthesia method, pain level, and postoperative hypoxemia were related factors affecting postoperative delirium in patients (P<0.05); Multivariate regression analysis showed that surgical time, intraoperative blood loss, anesthesia method, and pain were risk factors for postoperative delirium in elderly orthopedic patients (P<0.05).
Conclusion   There are many factors that affect postoperative delirium in elderly orthopedic patients. In clinical practice, it is necessary to combine the patient's situation and actively take intervention measures to promote patient recovery and ensure the effectiveness of surgical treatment.