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目的探讨老年肺癌患者术后谵妄的相关因素与护理措施。方法回顾性分析62例肺癌术后发生谵妄患者的临床资料。结果患者经过积极的药物治疗、及时的心理支持及采取有针对性的护理后逐渐康复,62例发生术后谵妄的老年患者中,仅2例意外拔出中心静脉导管(CVC),1例胸管滑脱,未出现其他不良事件,均在术后10~15 d痊愈出院,后续随访3个月无再发。结论老年肺癌患者术后发生谵妄的影响因素有高龄、负性情绪、手术创伤应激、麻醉和药物不良反应、切口疼痛、住院环境、睡眠形态紊乱等。采取加强护士培训、给予心理和社会以及家庭干预提高患者的应激耐受力等预防措施,可减少术后谵妄患者不良事件,有助于减少谵妄的发生,缩短住院时间,提高治愈率,值得参考。
Objective To investigate the related factors and nursing measures of postoperative delirium in elderly patients with lung cancer. Methods The clinical data of 62 patients with delirium after lung cancer surgery were retrospectively analyzed. Results After active drug treatment, timely psychological support and targeted nursing care, only 2 of the 62 elderly patients with postoperative delirium were accidentally withdrawn from the central venous catheter (CVC) and 1 patient had chest Tubal slippage, no other adverse events, were cured 10 to 15 days after discharge, followed up for 3 months without recurrence. Conclusion The incidence of postoperative delirium in elderly patients with lung cancer include senile and negative emotions, surgical trauma stress, anesthesia and adverse drug reactions, incisional pain, hospitalization environment, and disturbed sleep pattern. To take preventive measures such as strengthening nurse training, giving psychology, social and family intervention to increase stress tolerance of patients, it can reduce adverse events of postoperative delirium patients, help to reduce the incidence of delirium, shorten hospitalization time and improve the cure rate, which is worth reference.