文章摘要

护理谵妄筛查量表在老年髋关节置换术后谵妄中的应用

作者: 1杨 玉莲, 1王 胜斌
1 安徽医科大学附属安庆医院,安徽 安庆 246003
通讯: 王 胜斌 Email: shbw1965@126.com
DOI: 10.3978/j.issn.2095-6959.2020.04.022
基金: 安徽省安庆市医学重点资助项目(2017168)。

摘要

目的:观察护理谵妄筛查量表(Nursing Delirium Screening Scale,Nu-DESC)在麻醉恢复室(post-anesthesia care unit,PACU)老年髋关节置换术患者中应用的有效性与可行性。方法:选择300例在全凭静脉喉罩全身麻醉下行髋关节置换术并转入PACU患者,采用Nu-DESC和ICU意识模糊评估法(Confusion Assessment Method for the Intensive Care Unit,CAM-ICU)两种方法评估进入麻醉恢复室到转入病房时术后谵妄的发生情况,以CAM-ICU为标准,评估Nu-DESC的可行性、特异性和敏感性。结果:300例患者中,术后诊断谵妄有64例,其中男28例,女36例。与未发生谵妄组比较,发生谵妄组手术时间、麻醉时间和PACU驻留时间明显延长,与传统的CAM-ICU评估方法相比,Nu-DESC评估方法的特异性和敏感性分别是92.4%和67.2%。结论:PACU护士使用Nu-DESC简单可行,该方法可用于评价进入PACU行髋关节置换术老年患者发生术后谵妄的初步筛查。
关键词: 护理谵妄筛查量表;谵妄;髋关节置换术;老年

Application of Nu-DESC in screening postoperative delirium of elderly patients undergoing hip replacement in post-anesthesia care unit

Authors: 1YANG Yulian, 1WANG Shengbin
1 Department of Anesthesiology, Affiliated Anqing Hospital of Anhui Medical University, Anqing Anhui 246003, China

CorrespondingAuthor:WANG Shengbin Email: shbw1965@126.com

Foundation: This work was supported by Anqing Medical Major Project Foundation, China (2017168).

Abstract

Objective: To observe the validity and feasibility of Nursing Delirium Screening Scale (Nu-DESC) in evaluating delirium of elderly patients undergoing hip replacement in post-anesthesia care unit (PACU). Methods: Three hundred patients undergoing hip replacement with general anesthesia admitted in PACU were evaluated by Nu-DESC and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) to incidence of post-delirium. Based on CAM-ICU criterion, the feasibility, specificity and sensitivity of Nu-DESC were assessed. Results: A total of 300 patients were participated in this study, 64 cases were diagnosed delirium. Compared with undelirium group, operation time, anesthesia time and PACU time were significantly prolonged; compared with CAM-ICU method, the specificity and sensitivity of Nu-DESC were 92.4% and 67.2%, respectively. Conclusion: Nu-DESC is a simple and feasible. This method can be used to evaluate the initial screening of postoperative delirium in the elderly patients undergoing hip replacement with general anesthesia in PACU.
Keywords: Nursing Delirium Screening Scale; delirium; hip replacement; elder