| 赵 奎,张梅刃,曾 啸,郭江龙,严灿英,黄辉春.耳穴压豆疗法对老年髋部骨折患者术后谵妄、睡眠时间及焦虑水平的影响[J].,2021,(12):2386-2390 |
| 耳穴压豆疗法对老年髋部骨折患者术后谵妄、睡眠时间及焦虑水平的影响 |
| Effect of Auricular Acupoint Pressing Therapy on Postoperative Delirium, Sleep Time and Anxiety Level of Elderly Patients with Hip Fracture |
| 投稿时间：2021-01-04 修订日期：2021-01-27 |
| DOI：10.13241/j.cnki.pmb.2021.12.041 |
| 中文关键词: 老年 髋部骨折 耳穴压豆疗法 谵妄 睡眠时间 焦虑水平 |
| 英文关键词: Elderly Hip fracture Auricular acupoint pressing therap Delirium Sleep time Anxiety level |
| 基金项目:广东省珠海市科技计划项目（20191208E030040）；广东省中医药局科研项目（20161229） |
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| 中文摘要: |
| 摘要 目的：探讨耳穴压豆疗法对老年髋部骨折患者术后谵妄、睡眠时间及焦虑水平的影响。方法：选择2019年12月至2020年12月我院收治的老年髋部骨折患者70例为受试对象，根据患者入院先后顺序编号，随机分为观察组和对照组各35例。对照组行临床路径常规处理，观察组在对照组基础上加用耳穴压豆疗法。入院后每天使用谵妄量表分析系统（CAM-CR）对所有患者进行评估，若确诊为谵妄，则进行谵妄评定量表-98修订版（DRS-R-98）评定，并记录首次及末次DRS-R-98分值及谵妄持续时间；记录患者每天睡眠时间；同时在入院当天、术前1天及术后1周采用焦虑自评量表（SAS）及汉密顿焦虑量表（HAMA）进行焦虑评分。结果：对照组术后13例发生谵妄，发生率为37.14%；观察组术后5例发生谵妄，发生率为14.29%，两组术后谵妄发生率比较差异有统计学意义（P＜0.05）。两组患者术后谵妄持续时间比较差异有统计学意义（P＜0.05）。两组患者每天睡眠时间比较差异有统计学意义（P＜0.05）。两组患者术后1周的SAS评分和HAMA评分比较差异有统计学意义（P＜0.05）。结论：老年髋部骨折患者应用耳穴压豆疗法可缓解患者的焦虑水平，改善睡眠，降低术后谵妄的发生率，减少谵妄的持续时间，促进患者的早期恢复。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of auricular acupoint pressing therapy on postoperative delirium, sleep time and anxiety level in elderly patients with hip fracture. Methods: 70 elderly patients with hip fracture admitted to our hospital from December 2019 to December 2020 were selected as the subjects. According to the admission sequence number of patients, they were randomly divided into the observation group and the control group with 35 cases in each group. The control group received routine treatment of clinical pathway, and the observation group received auricular acupoint pressing therapy on the basis of the control group. After admission, all patients were assessed with confusion assessment method-chinese reversion (CAM-CR) every day. If they were diagnosed with delirium,they were assessed with delirium rating scale-98 revised(DRS-R-98), and the first and last DRS-R-98 scores and delirium duration were recorded. The daily sleep time of patients was recorded. At the same time, Self-RatingAnxiety Scale(SAS) and Hamilton Anxiety Scale (HAMA) were used to evaluate anxiety on the day of admission, 1 day before operation and 1 week after operation. Results: There were 13 cases of postoperative delirium in the control group (37.14%), 5 cases of postoperative delirium in the observation group(14.29%), and the difference was statistically significant(P<0.05). The difference of postoperative delirium duration between the two groups was statistically significant(P<0.05). The difference of daily sleep time between the two groups was statistically significant (P<0.05). There was significant difference in SAS score and HAMA score between the two groups one week after operation(P<0.05). Conclusion: Auricular acupoint pressing therapy can relieve the anxiety level, improve sleep, reduce the incidence of postoperative delirium, reduce the duration of delirium, and promote the early recovery of elderly patients with hip fracture. |
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