基于ABCDE的集束化、个性化护理方案对老年急性A型主动脉夹层病人术后谵妄的影响

doi:10.3969/j.issn.1003-9198.2024.04.021

Abstract

Abstract: Objective To explore the effect of individualized nursing plan based on ABCDE bundle on postoperative delirium in the elderly patients with acute type A aortic dissection(ATAAD). Methods A total of 121 elderly patients with ATAAD who underwent surgery and admitted to intensive care unit (ICU) in our hospital from January 2018 to December 2021 were enrolled in this study. Among them, 60 patients admitted from January 2018 to December 2019 who received the conventional ABCDE bundle care were enrolled in the control group, and 61 patients admitted from January 2020 to December 2021 who received individualized postoperative care plan based on ABCDE bundle were enrolled in the intervention group. The incidence of postoperative delirium, the time point of delirium occurrence, the duration of delirium, the duration of mechanical ventilation, the length of ICU stay and the total length of hospital stay were compared between the two groups. Results The incidence of postoperative delirium, the duration of delirium, the duration of mechanical ventilation and the length of ICU stay were significantly lower, and the time point of delirium occurrence was significantly later in the intervention group than that in the control group(P<0.05). The total length of hospital stay showed no significant difference between the two groups. Conclusions The individualized postoperative nursing plan for elderly ATAAD patients based on ABCDE bundle can effectively delay the occurrence of postoperative delirium, reduce the incidence and duration of postoperative delirium, shorten the duration of mechanical ventilation and ICU stay, which is worthy of clinical application.

Key words: postoperative delirium, aortic dissection, aged, ABCDE bundle, individualized nursing

CLC Number:

R 473

QI Ping. Effect of individualized ABCDE-based bundle care on postoperative delirium in elderly patients with acute type A aortic dissection[J]. Practical Geriatrics, 2024, 38(4): 418-421.

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Effect of individualized ABCDE-based bundle care on postoperative delirium in elderly patients with acute type A aortic dissection

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