摘要
目的了解内科住院高龄老年患者的谵妄发生情况,并分析其影响因素。方法回顾性收集2023年5月—2024年5月在北京中医药大学第三附属医院内科住院的586例高龄老年患者的资料进行分析,根据是否发生谵妄分为谵妄组和非谵妄组。采用单因素分析、二项Logistic回归分析探讨内科住院高龄老年患者发生谵妄的影响因素。结果586例内科住院高龄老年患者谵妄的发生率为21.2%(124/586)。二项Logistic回归分析结果显示,年龄、日常生活活动能力(Barthel指数)、叶酸缺乏、睡眠障碍、留置导管是内科住院高龄老年患者发生谵妄的影响因素(P<0.05)。结论内科住院高龄老年患者的谵妄发生率较高,医护人员需重点关注高龄、日常生活活动能力受限、叶酸缺乏、睡眠障碍及留置导管的老年患者,尽早采取针对性的预防策略。
Objective To explore the incidence of delirium in patients of advanced age hospitalized in internal medicine departments and analyze its influencing factors.Methods A retrospective analysis was conducted on the medical records of 586 patients of advanced age hospitalized in internal medicine departments at the Beijing University of Chinese Medicine Third Affiliated Hospital from May 2023 to May 2024.Patients were divided into a delirium group and a non-delirium group based on whether delirium occurred.Univariate analysis and binary Logistic regression analysis were used to explore the factors influencing delirium in patients of advanced age hospitalized in internal medicine departments.Results Among 586 patients of advanced age hospitalized in internal medicine departments,the incidence of delirium was 21.2%(124/586).Binary Logistic regression analysis showed that age,activities of daily living(Barthel Index),folate deficiency,sleep disorders,and indwelling catheters were factors influencing delirium in patients of advanced age hospitalized in internal medicine departments(P<0.05).Conclusions The incidence of delirium is high among patients of advanced age hospitalized in internal medicine departments.Healthcare professionals should pay particular attention to elderly patients with advanced age,limited activities of daily living,folate deficiency,sleep disorders,and indwelling catheters,and should implement targeted preventive strategies as early as possible.
作者
范雪燕
韩柳
于秋爽
杨思佳
张大华
李晶晶
马雪玲
于李
Fan Xueyan;Han Liu;Yu Qiushuang;Yang Sijia;Zhang Dahua;Li Jingjing;Ma Xueling;Yu Li(School of Nursing,Beijing University of Chinese Medicine,Bejing 100029,China;Department of Geriatrics,Beijing University of Chinese Medicine Third Affiliated Hospital,Bejing 100029,China;Nursing Department,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《中华现代护理杂志》
2025年第29期3984-3989,共6页
Chinese Journal of Modern Nursing
基金
海峡两岸医药卫生交流协会护理分会科研课题(2024-CSMEA-NURSE002)
北京中医药大学新教师启动基金(2022-JYB-XJSJJ-084)
中医药高等教育学会临床教育研究会临床教学科学研究课题(2023-010)。
关键词
老年人
高龄
谵妄
发生率
影响因素
Aged
Advanced age
Delirium
Incidence
Influencing factors
