神经外科术后老年机械通气患者谵妄多元化非药物干预方案的构建及应用研究

doi:10.3969/j.issn.1003-9198.2026.06.019

Abstract

Abstract: Objective To construct a diversified non-drug intervention program for delirium in elderly patients undergoing mechanical ventilation after neurosurgery, and to evaluate its application effect. Methods Through literature search and expert consultation, a diversified non-drug intervention program for delirium in elderly patients undergoing mechanical ventilation after neurosurgery was constructed. A non-concurrent controlled study was conducted. A total of 45 elderly patients undergoing mechanical ventilation after neurosurgery from July 1, 2023 to March 31, 2024 were selected as the control group, and 45 similar patients from October 1, 2024 to June 30, 2025 were selected as the observation group. The observation group received diversified non-drug intervention scheme to prevent delirium, while the control group received neurosurgical critical care.The incidence of delirium, duration of mechanical ventilation, length of ICU stay, dosage of sedative drugs and sleep quality score were compared between the two groups. Results The incidence of delirium, dosage of sedative drugs, duration of mechanical ventilation and length of ICU stay in the observation group were lower than those in the control group, and the sleep quality score was higher than that in the control group, with significant differences (P<0.01). Conclusions The diversified non-drug intervention program for delirium in elderly patients receiving mechanical ventilation after neurosurgery is scientific and comprehensive. The implementation of the program can reduce the incidence of delirium.

Key words: aged, post-neurosurgical operation, mechanically ventilation, delirium, non-pharmaceutical intervention

CLC Number:

R 619

NI Fangfang, YE Lei, ZHANG Yingbei, CHEN Jiawei, ZHANG Yaojin, CUI Wei. Construction and application of diversified non-drug intervention program for delirium in elderly patients undergoing mechanical ventilation after neurosurgery[J]. Practical Geriatrics, 2026, 40(6): 640-645.

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Construction and application of diversified non-drug intervention program for delirium in elderly patients undergoing mechanical ventilation after neurosurgery

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