摘要
目的分析前列腺增生术后患者谵妄的影响因素及预见性护理方法。方法方便选择2016年2月—2018年2月期间在该院行手术(经尿道前列腺电切术)治疗且出现术后瞻妄的20例前列腺增生患者作为研究对象。收集患者临床资料,分析导致术后谵妄的主要因素,观察术后谵妄患者的预后及转归,并总结预见性护理方法。结果术后瞻望的主要影响因素:高龄导致中枢神经系统等功能减退3例(15.00%),术前/术后存在睡眠障碍5例(25.00%),术后剧烈疼痛或阵发性疼痛8例(40.00%),术前/术后心理压力过大1例(5.00%),麻醉药物导致精神性不良反应3例(15.00%),其中术后剧烈疼痛或阵发性疼痛占比最高,显著高于其他因素,差异有统计学意义(χ~2=4.698,P=0.019;χ~2=4.317,P=0.022;χ~2=4.926,P=0.018;χ~2=4.698,P=0.019)。患者发病时间主要在夜间(18例),仅2例在白天发病。20例患者经对症治疗和支持性治疗后谵妄控制后不再发作,随访12个月显示无患者出现精神症状,患者预后良好。结论前列腺增生术后谵妄的影响因素较多,有必要结合患者病情采取针对性的预见性护理。
Objective To analyze the influencing factors and predictive nursing methods of patients with postoperative prostate hyperplasia. Methods Twenty patients with benign prostatic hyperplasia who underwent surgery （transurethral resection of the prostate） between February 2016 and February 2018, and who had postoperative prospects were convenient selected as subjects. The clinical data of the patients were collected, the main factors leading to postoperative delirium were analyzed, the prognosis and outcome of postoperative delirium patients were observed, and the predictive nursing methods were summarized. Results The main influencing factors of postoperative prospection were： 3 cases （15.00%） with central nervous system dysfunction, 5 cases （25.00%） with preoperative/postoperative sleep disorder, 8 cases of severe pain or paroxysmal pain after operation. （40.00%）, 1 case （5.00%） of preoperative/postoperative psychological stress was excessive, and 3 cases （15.00%） caused by psychotic adverse reactions, among which severe pain or paroxysmal pain accounted for the highest proportion, and the difference was significantly higher than the other factors （X^2=4.698,P=0.019; X^2=4.317,P=0.022; X^2=4.926,P=0.018; X^2=4.698,P=0.019）. The onset time of the patients was mainly at night （18 cases）, and only 2 cases occurred during the day. Twenty patients were no longer attacked after symptomatic treatment and supportive treatment. After 12 months of follow-up, no patients had psychiatric symptoms and the prognosis was good. Conclusion There are many factors influencing the postoperative sputum of benign prostatic hyperplasia. It is necessary to take targeted precautionary care in combination with the patient＇s condition.
作者
刘玉红
李彩霞
LIU Yu-hong;LI Cai-xia(Department of Urology,Xinhua Hospital,Yili Prefecture,Yili,Xinjiang,835000 China)
出处
《中外医疗》
2018年第27期150-152,共3页
China & Foreign Medical Treatment
关键词
前列腺增生
术后谵妄
影响因素
预见性护理
Benign prostatic hyperplasia
Postoperative delirium
Influencing factors
Predictive care
