预防住院老年病人发生谵妄照护方案实施及效果评价

doi:10.3969/j.issn.1003-9198.2023.02.024

Abstract

Abstract: Objective To implement the care plan for prevention of delirium in the hospitalized elderly patients and evaluate its effect. Methods A care team for delirium prevention was established. A total of 447 patients were enrolled in a multi-center, randomized controlled trial, with 230 cases in the control group and 217 cases in the experimental group. The control group received routine medical treatment and nursing, and the experimental group received care plan for delirium prevention on the basis of routine medical treatment and nursing. The observation time was 2 weeks. The delirium incidence, cognitive function and self-care ability of the two groups were compared before and after intervention. Results The incidence rate of delirium in the experimental group was significantly lower than that in the control group (2.7% vs 7.3%, P<0.05). After two weeks of intervention, cognitive impairment in the experimental group was improved more than that in the control group(P<0.05), especially in the patients with mild and moderate cognitive impairment. The score of Barthel Index in the experimental group before the intervention was higher than that after the intervention (P<0.05),but there was no signicant difference between the two groups. The hospitalization time of the experimental group was less than that of the control group(P<0.05). Conclusions Care plan to prevent delirium in hospitalized elderly patients can reduce the incidence of delirium and the loss of self-care ability and prevent cognitive decline.

Key words: delirium, prevention, multi-center, randomized controlled, aged

CLC Number:

R 473.59

XU Li, ZHANG Meng, WEI Jing-yi, GAO Lang-li, ZHANG Xue-mei. Implementation and effect evaluation of care plan for prevention of delirium in elderly patients[J]. Practical Geriatrics, 2023, 37(2): 204-208.

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Implementation and effect evaluation of care plan for prevention of delirium in elderly patients

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