Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 519-522
ZHU Hong-yan, XU Wei-fang. Influence of anaesthesia recovery nursing based on enhanced recovery after surgery on post-operative delirium in elderly patients under general anaesthesia for hip fracture surgery[J]. Chinese Journal of General Practice, 2022, 20(3): 519-522. doi: 10.16766/j.cnki.issn.1674-4152.002391
Citation: ZHU Hong-yan, XU Wei-fang. Influence of anaesthesia recovery nursing based on enhanced recovery after surgery on post-operative delirium in elderly patients under general anaesthesia for hip fracture surgery[J]. Chinese Journal of General Practice, 2022, 20(3): 519-522. doi: 10.16766/j.cnki.issn.1674-4152.002391
shu

Influence of anaesthesia recovery nursing based on enhanced recovery after surgery on post-operative delirium in elderly patients under general anaesthesia for hip fracture surgery

doi: 10.16766/j.cnki.issn.1674-4152.002391

  • Department of Anaesthesiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830001, China

Funds:

 2017D01C287

  • Received Date: 2021-04-23
    Available Online: 2022-08-13
    Abstract
  •   Objective  To investigate the influence of anaesthesia recovery nursing based on enhanced recovery after surgery (ERAS) on postoperative delirium (POD) in elderly patients undergoing general anaesthesia for hip fracture surgery.  Methods  A total of 100 elderly patients who underwent elective hip fracture surgery in our hospital from January 2017 to December 2019 were selected, and they were randomly divided into the control group (n=50) and the observation group (n=50). The patients in the control group received routine nursing, whereas those in the observation group received anaesthesia recovery nursing based on ERAS. The occurrence of POD and delirium-related adverse events, post-operative recovery and nursing satisfaction were compared between the two groups.  Results  The incidence rates of POD in the observation and control groups were 12.00% and 30.00%, respectively, and with delirium durations of (3.42±1.09) h and (4.74±1.31) h, respectively (all P < 0.05). The incidence of POD-related adverse events including fall/bed fall, unplanned extubation and stress injury were lower than the control group, which were statistically significant (all P < 0.05).In the postoperative recovery of the observation group, extubation time, residence time after anesthesia recovery room (PACU), directional force recovery time and postoperative hospitalization time were shorter than the control group, all statistically significant (all P < 0.05). The nursing satisfaction of the observation group was higher than that of the control group (P < 0.05).  Conclusion  Anaesthesia recovery nursing based on ERAS can effectively prevent the occurrence of POD and promote post-operative recovery in elderly patients undergoing general anaesthesia surgery for hip fracture.

     

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