摘要

【摘要】
目的：分析接受髋部骨折术的老年患者发生精神障碍的影响因素以及相应的护理对策。

方法：选取2014年1月至2015年12月在我院进行手术治疗的老年髋部骨折术的患者50例作为研究对象，根据患者是否在术后并发精神障碍分为精神障碍组（n=21）和无精神障碍组（n=29），采用t检验比较两组患者之间的基本资料（包括：年龄、手术时间、术中出血量、血钠水平），采用卡方检验比较两组患者并发慢性疾病疾病的情况（包括高血压、糖尿病、冠心病、慢性阻塞性肺疾病、术中全身麻醉），采用Logistic回归分析各因素与发生精神障碍之间的相关性。

结果：单因素分析

结果表明，精神障碍组患者的年龄显著高于无精神障碍组（P<0.05），精神障碍组患者的血钠水平显著低于无精神障碍组（P<0.05），精神障碍组患者并发慢性阻塞性肺疾病和进行全身麻醉的比例显著高于无精神障碍组（P<0.05），Logistic回归分析表明年龄、高血钠、并发慢性阻塞性肺疾病、全身麻醉是发生精神障碍的危险因素（P<0.05）。

结论：年龄、高血钠、并发慢性阻塞性肺疾病、全身麻醉可能是发生精神障碍的危险因素，需要根据患者的临床特点采取针对性的护理干预，能促进患者的康复。

关键词：【关键词】髋部骨折；精神障碍；护理

ABSTRACT

【Abstract】
Objective: Analysis of accept the elderly patients with hip fracture surgery in the influence factors of mental disorders and the corresponding nursing countermeasures..

Methods: Choose between January 2014 and December 2014 in our hospital for surgical treatment of elderly patients with hip fracture surgery of 50 cases as the research object, according to whether the patients in the postoperative concurrent mental disorders into mental disorders groups (n = 21) and without mental disorders group (n = 29), using t test to compare between the two groups of patients with basic information (include: age, operation time, intraoperative blood loss, blood sodium levels), using chi-square test to compare two groups of patients complicated with chronic disease disease situation (including high blood pressure, diabetes, coronary heart disease, chronic obstructive pulmonary disease and general anesthesia), using Logistic regression analysis of the factors and the occurrence of the correlation between mental disorders.

Results: Single factor analysis results show that the age of the patients with mental disorder group was significantly higher than that of without mental disorder (P<0.05), the group had a significantly higher serum sodium levels in patients with mental disorders have no mental disorder group (P<0.05), mental disorder patients complicated with chronic obstructive pulmonary disease and the proportion of general anesthesia is significantly higher than without mental disorder (P<0.05), Logistic regression analysis showed that age, high blood sodium, complicated with chronic obstructive pulmonary disease, general anesthesia is a risk factor for mental disorder (P<0.05).

Conclusion  : Age, high blood sodium, complicated with chronic obstructive pulmonary disease, general anesthesia may be a risk factor for mental disorders, need according to the clinical characteristics of patients taking corresponding nursing intervention, can promote the recovery of patients.

Key words: 【Keywords】hip fracture; psychogeny; nursing