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首页> 外文期刊>Journal of orthopaedic nursing >Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?
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Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?

机译：创伤科住院病人的混乱综合征研究：为什么老年患者会迷失方向？

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摘要

Acute confusion is a frequent health care problem amongst hospitalised elderly patients. The study investigated the incidence of acute confusion during the hospitalisation of elderly patients, identified associated physical and/or psycho-social factors and outlined measures to help minimise risk factors. Two sets of data were collected using the Mini-Mental State test (MMST) and a questionnaire. The MMST was given on hospital admission and repeated when patients showed the first signs of disorientation and in a non-confused control group. Of 200 patients included in the study, 43 suffered acute confusion during hospitalisation (mean age 82.7). The mean age of the non-confused group was 76 (p < 0.002). Patients who suffered acute confusion scored significantly lower on the initial MMST (p < 0.001) had received more blood transfusions (p < 0.04) and were more incontinent (p < 0.001) than those who did not. In 67% of cases acute confusion first appeared during the night shift and worried patients' relatives (79%). The study showed that there is a higher risk of confusion in older male patients who score low on initial MMST. Confusion tends to first appear at night and requires extra nursing attention. Nurses must be aware of this phenomenon and take prompt action to calm patients' relatives and provide a safe environment for the confused patient.
机译：急性混乱是住院老年患者中经常出现的医疗保健问题。该研究调查了老年患者住院期间的急性意识混乱发生率，确定了相关的身体和/或心理社会因素，并概述了有助于将危险因素降至最低的措施。使用最小精神状态测试（MMST）和调查表收集了两组数据。 MMST在入院时进行，当患者出现第一个迷失方向时和在不混淆的对照组中重复进行。在研究中包括的200名患者中，有43名在住院期间出现了急性意识模糊（平均年龄82.7）。未混淆组的平均年龄为76岁（p <0.002）。与未接受MMST的患者相比，接受急性输液的患者的初始MMST评分（p <0.001）明显较低（p <0.04），而尿失禁的比例更高（p <0.001）。在67％的病例中，夜班期间首先出现了急性混乱，使患者的亲属担心（79％）。研究表明，在初始MMST评分较低的老年男性患者中，混淆的风险更高。混乱往往首先出现在夜间，需要额外的护理。护士必须意识到这一现象，并迅速采取行动使患者的亲属安心，并为困惑的患者提供安全的环境。

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