确定在土耳其接受骨科手术干预的老年患者术后谵妄的发生率。
Determining the incidence of postoperative delirium in elderly patients who undergo orthopaedic surgical interventions in Turkey.
作者信息
Ozbas Ayfer, Ak Ezgi Seyhan, Cavdar Ikbal, Findik Ummu Yildiz, Kutlu Fatma Yasemin, Akyuz Nuray
机构信息
Surgical Nursing Department, Istanbul University, Florence Nightingale, Faculty of Nursing, Sisli, Istanbul.
Key Sports and Health Research Center, School of Social Science, Tsinghua University, Beijing China.
出版信息
J Pak Med Assoc. 2018 Jun;68(6):867-871.
OBJECTIVE
To determine the incidence of postoperative delirium in elderly patients having undergone orthopaedic surgical interventions.
METHODS
The cross-sectional study was conducted at the traumatology clinic of GATA Haydarpasa Training and Research Hospital in Istanbul, Turkey, from April 2014 to April 2015 and comprised patients who underwent orthopaedic surgical interventions. The subjects included were aged >65 years, had no mental disorders, no acute cerebrovascular disease, no known history of delirium and/or dementia. Data was collected using a self-generated questionnaire, mini mental state examination and delirium rating scale. SPSS 18 was used for data analysis.
RESULTS
Of the 60 participants, 39(65%) were female and 21(35%) were male. The overall mean age was 77.07±8.66 years. Besides, 22(36.7%) patients hadmoderate cognitive impairment preoperatively, and 51(85%) had no delirium postoperatively while 9(15%) had delirium.
CONCLUSIONS
Degree of cognitive impairment,advanced age and type of surgery were determined to be risk factors for delirium.
目的
确定接受骨科手术干预的老年患者术后谵妄的发生率。
方法
本横断面研究于2014年4月至2015年4月在土耳其伊斯坦布尔的加泰医院海达尔帕夏培训与研究医院创伤科进行，纳入接受骨科手术干预的患者。纳入对象年龄>65岁，无精神障碍、无急性脑血管疾病、无已知的谵妄和/或痴呆病史。使用自行编制的问卷、简易精神状态检查表和谵妄评定量表收集数据。采用SPSS 18进行数据分析。
结果
60名参与者中，39名（65%）为女性，21名（35%）为男性。总体平均年龄为77.07±8.66岁。此外，22名（36.7%）患者术前有中度认知障碍，51名（85%）患者术后无谵妄，9名（15%）患者发生谵妄。
结论
认知障碍程度、高龄和手术类型被确定为谵妄的危险因素。
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