%0 Journal Article
%T 老年肿瘤患者术后谵妄的危险因素及护理对策研究现状
Current Status of Risk Factors and Nursing Strategies for Postoperative Delirium in Elderly Tumor Patients
%A 张蕾
%A 汤小华
%J World Journal of Cancer Research
%P 164-169
%@ 2164-9057
%D 2023
%I Hans Publishing
%R 10.12677/WJCR.2023.134023
%X 术后谵妄(Postoperative Delirium, POD)是老年患者术后常见的中枢神经系统并发症,65岁以上的老年患者谵妄的发生率显著,表现为急性意识水平下降,注意力、认知和知觉障碍,其病程呈波动性,多见于术后1~3天。POD不仅可导致老年患者康复延迟、延长患者术后住院天数、增加医疗费用,还与术后病死率升高密切相关。因此,了解谵妄的临床表现和危险因素,有助于正确认识谵妄的病因、发病机制及预测不良结局,进而影响治疗决策及护理管理。本文就老年肿瘤患者术后谵妄的危险因素、预后及护理对策等方面进行综述,为临床护理人员开展谵妄的研究和护理实践提供参考。
Postoperative delirium (POD) is a common complication of the central nervous system in elderly patients after surgery. The incidence of delirium in elderly patients over 65 years old is significant, manifested by acute decreased consciousness levels, attention, cognition, and perception disorders, and its course is fluctuating, mostly occurring 1~3 days after surgery. POD can not only delay the recovery of elderly patients, prolong their postoperative hospitalization days, increase medical expenses, but also be closely related to an increase in postoperative mortality. Therefore, understanding the clinical manifestations and risk factors of delirium can help to correctly understand the etiology, pathogenesis, and predict adverse outcomes of delirium, thereby affecting treatment decisions and nursing management. This article reviews the risk factors, prognosis, and nursing strategies of postoperative delirium in elderly tumor patients, with the aim of providing reference for clinical nursing staff to conduct research and nursing practice on delirium.
%K 老年肿瘤患者,术后谵妄,危险因素,护理对策
Elderly Tumor Patients
%K Postoperative Delirium
%K Risk Factors
%K Nursing Strategies
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=73567