中国典型病例大全

目的 探讨集束化护理联合早期预见性干预对老年髋部骨折术后谵妄发生率的改善效果。方法 选取2023年3月—2024年9月江苏省邳州市人民医院收治的40例老年髋部骨折患者为观察对象，以随机硬币投掷法均分为观察组与对照组，各20例。对照组给予集束化护理，观察组在此基础上强化早期预见性干预，比较两组术后谵妄发生率、护理满意度及生活质量。结果 与对照组比，观察组患者术后谵妄发生率、护理满意度和术后生活质量均高（P<0.05）。结论 集束化护理与早期预见性干预联合应用于老年髋部骨折患者治疗中，可有效降低术后谵妄发生率，提高护理满意度，改善生活质量，值得临床借鉴。

Objective Exploring the improvement effect of Bundle care combined with early predictive intervention on the incidence of postoperative delirium in elderly patients with hip fractures. Methods Forty elderly patients with hip fractures admitted to the People's Hospital of Pizhou City, Jiangsu Province from March 2023 to September 2024 were selected as the observation subjects. They were randomly divided into an observation group and a control group using a coin toss method, with 20 cases in each group. The control group received Bundle care, while the observation group strengthened early predictive intervention on this basis. The incidence of postoperative delirium, nursing satisfaction, and quality of life were compared between the two groups. Results Compared with the control group, the observation group had a higher incidence of postoperative delirium, nursing satisfaction, and postoperative quality of life, and the differences were statistically significant(P<0.05). Conclusion The combined application of Bundle care and early predictive intervention in the treatment of elderly patients with hip fractures can effectively reduce the incidence of postoperative delirium, improve nursing satisfaction, and enhance quality of life, which is worthy of clinical reference.