基于循证理念的老年髋部骨折患者术后谵妄防控培训方案的构建与应用OA
Construction and application of an evidence-based training program for the prevention and control of postoperative delirium in elderly patients with hip fractures
目的 构建基于循证理念的老年髋部骨折患者术后谵妄防控培训方案,并分别从护士和患者层面评价其应用效果.方法 采用非同期历史对照设计,以 2024 年 7 月为界,实施时间分段.通过连续性抽样方法,选取南京医科大学附属苏州医院骨科病房的 40 名护士为培训对象,并收集 2024 年 1～12 月收治的 102 例老年髋部骨折手术患者的临床资料.将 2024 年1～6 月收治的51 例患者设为对照组,此阶段护士接受常规谵妄防控培训方案;将2024 年7～12 月收治的 51 例患者设为观察组,此阶段开始构建并实施基于循证理念的术后谵妄防控培训方案.比较基于循证理念术后谵妄防控培训前后护士对术后谵妄知识的掌握能力,并比较 2 组患者的谵妄发生率、谵妄持续时间、住院时间及护理满意率.结果 循证培训后,护士的汉化版重症监护室护士谵妄知识调查量表各维度评分均显著高于培训前(P 均<0.05).观察组的谵妄发生率(5.88％)低于对照组(19.61％),谵妄持续时间和住院时间均短于对照组,护理满意率(90.20％)高于对照组(72.55％),差异均有统计学意义(P 均<0.05).结论 基于循证理念的老年髋部骨折患者术后谵妄防控培训方案有助于提高护士的谵妄防控能力,降低患者术后谵妄发生率,缩短其谵妄持续时间和住院时间,提高患者护理满意率.
Objective To construct an evidence-based training program for the prevention and control of postoperative delirium in elderly patients with hip fractures and to evaluate its application effects from the perspectives of nurses and patients.Methods A non-simultaneous historical controlled design was adopted,the implementation time is segmented with July 2024 as the boundary.A total of 40 nurses from the orthopedic ward of the Affiliated Suzhou Hospital of Nanjing Medical University were selected as training participants using continuous sampling.Clinical data of 102 elderly patients undergoing hip fracture surgery from January to December 2024 were collected.Patients admitted from January to June 2024(n=51)were set as the control group,during which the nurses received routine postoperative delirium prevention and control training.Patients admitted from July to December 2024(n=51)were set as the observation group,during which the evidence-based training program for postoperative delirium prevention and control was constructed and implemented.The nurses'knowledge of postoperative delirium was compared before and after the evidence-based training.The incidence and duration of delirium,length of hospital stay,and patient satisfaction with nursing care were compared between the two groups.Results After the evidence-based training,the scores of all dimensions of the Chinese version of the Delirium Knowledge Test for Intensive Care Nurses were significantly higher than those before training(P<0.05).The incidence of delirium in the observation group(5.88％)was lower than that in the control group(19.61％),the duration of delirium and length of hospital stay in the observation group were shorter than those in the control group,and the patient satisfaction rate with nursing care in the observation group(90.20％)was higher than that in the control group(72.55％),with statistically significant differences(P<0.05).Conclusion The evidence-based training program for postoperative delirium prevention and control in elderly patients with hip fractures can improve nurses'ability to prevent and control delirium,reduce the incidence of postoperative delirium,shorten the duration of delirium and length of hospital stay,and increase patients'nursing satisfaction rate.
高琳;王琴;吴华;谷斌
南京医科大学附属苏州医院,江苏 苏州,215000南京医科大学附属苏州医院,江苏 苏州,215000南京医科大学附属苏州医院,江苏 苏州,215000南京医科大学附属苏州医院,江苏 苏州,215000
医药卫生
骨科护士术后谵妄防控循证理念谵妄
orthopedic nursespostoperative delirium preventionevidence-based conceptdelirium
《中西医结合护理（中英文）》 2026 (5)
119-123,5
2024年度苏州市立医院护理科研项目(SLYYHL202406)
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