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目的探讨晚期肿瘤患者谵妄症状的护理效果。方法选取2012年12月至2014年12月成都市新都区中医医院诊治的186例晚期肿瘤患者,按照随机数字表法随机分为两组,对照组和观察组,每组93例。对照组患者实施常规护理,观察组患者实施针对性护理干预。比较两组患者的谵妄情况,分析谵妄的影响因素。结果谵妄与年龄、电解质紊乱、颅内转移灶、睡眠障碍关系密切(P<0.05)。谵妄与性别、3个月内手术、低血氧症、低蛋白血症、使用强效镇静剂、贫血、单次住院超过2周、肝肾功能不全无关(P>0.05)。观察组患者谵妄发生率低于对照组,护理依从性、护理满意度高于对照组(P<0.05)。结论有效的护理干预可降低晚期肿瘤患者谵妄的发生风险,年龄、电解质紊乱、颅内转移灶和睡眠障碍均为谵妄的影响因素。
Objective To investigate the nursing effect of delirium symptoms in advanced cancer patients. Methods Totally 186 advanced cancer patients diagnosed and treated in Chengdu Xindu District Chinese Medicine Hospital from December 2012 to December 2014 were randomly divided into two groups according to the random number table method, control group and observation group, with 93 cases in each group. Patients in the control group were given routine nursing care and patients in the observation group were given targeted nursing interventions. The delirium of the two groups was compared and the influencing factors of delirium were analyzed. Results delirium and age, electrolyte imbalance, intracranial metastases, sleep disorders are closely related (P <0.05). Delirium and gender, surgery within 3 months, hypoxaemia, hypoproteinemia, potent sedatives, anemia, single hospital stay more than 2 weeks, liver and kidney dysfunction (P> 0.05). The incidence of delirium in the observation group was lower than that in the control group, and the nursing compliance and nursing satisfaction were higher than those in the control group (P <0.05). Conclusion Effective nursing intervention can reduce the risk of delirium in patients with advanced cancer. Age, electrolyte imbalance, intracranial metastases and sleep disorders are the influencing factors of delirium.