摘要
目的:分析老年髋部骨折患者术后睡眠障碍的影响因素及护理策略。方法:选取2020年1月至2022年6月福清市第三医院护理部收治的老年髋部骨折手术患者100例作为研究对象,根据睡眠障碍发生情况分为睡眠障碍组与非睡眠障碍组,按照护理方式的不同分为对照组与观察组,对照组给予常规护理干预,观察组合并睡眠障碍的发生并给予多维度强化护理干预,观察组回顾性分析老年髋部骨折手术患者临床资料,利用Logistic回归分析法确定老年髋部骨折患者术后睡眠障碍独立危险因素。结果:观察组合并睡眠障碍的患者有32例,老年髋部骨折患者术后睡眠障碍总发生率32.00%;单因素与多因素分析结果显示老年髋部骨折患者术后睡眠障碍独立危险因素有疼痛程度高、全麻、焦虑、抑郁、营养障碍、精神障碍、病房环境喧闹、制动时间≥42 h.并发症>2种;对照组睡眠障碍发生率16.00%、疼痛评分、焦虑评分、抑郁评分、睡眠质量评分均低于观察组(P<0.05),生命质量评分显著高于观察组(P<0.05)。结论:老年髋部骨折患者易受多种因素影响并出现睡眠障碍,给予患者多维度强化护理服务,可在一定程度上规避术后睡眠障碍影响因素,减少睡眠障碍发生率,提高患者术后生命质量。
Objective:To analyze the influencing factors and nursing strategies of sleep disorders in elderly patients with hip fracture after surgery.Methods:A total of 100 elderly patients with hip fracture surgery admitted to the Nursing Department of the Third Hospital of Fuqing City from January 2020 to June 2022 were selected as the research objects.According to the occurrence of sleep disorders,they were divided into the sleep disorder group and the non-sleep disorder group,and according to the different ways of nursing,they were divided into the control group and the observation group.The control group was given routine nursing intervention,and the observation combination and the occurrence of sleep disorders were given multidimensional intensive nursing intervention.Clinical data of elderly patients with hip fracture surgery were retrospectively analyzed,Independent risk factors of sleep disorders in elderly patients with hip fracture surgery were determined by Logistic regression analysis.Results:Thirty-two patients with combined sleep were observed,and the total incidence of postoperative sleep disorders in elderly patients with hip fracture was 32.00%.Univariate and multivariate analysis showed that the independent risk factors for postoperative sleep disorders in elderly patients with hip fracture were high degree of pain,general anesthesia,anxiety,depression,nutritional disorders,mental disorders,noisy ward environment,braking time≥42 h,and complications>2.The incidence of sleep disorders in control group was 16.00%,pain score,anxiety score,depression score and sleep quality score were lower than those of the observation group(all P<0.05),and quality of life score was significantly higher than the observation group(P<0.05).Conclusion:Elderly patients with hip fracture are susceptible to multiple factors and have sleep disorders.Giving patients multi-dimensional intensive nursing services can avoid the influencing factors of postoperative sleep disorders to a certain extent,reduce the incidence of sleep disorders,and improve the quality of life of patients after surgery.
作者
林琴
LIN Qin(The Third Hospital of Fuqing,Fuqing 350301,China)
出处
《世界睡眠医学杂志》
2023年第4期753-756,共4页
World Journal of Sleep Medicine
关键词
老年髋部骨折
睡眠障碍
影响因素
综合护理
Senile hip fracture
Sleep disorders
Influencing factors
Comprehensive nursing
