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
CorrespondingAuthor: WANG Shengbin Email: shbw1965@126.com
DOI: 10.3978/j.issn.2095-6959.2020.04.022
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