Impact of care bundles and usual care on postoperative delirium in elderly oral cancer patients

Abstract

Abstract: PURPOSE: To investigate the impact of care bundles against risk factors on postoperative delirium in elderly oral cancer patients. METHODS: One hundred and sixty elderly oral cancer patients who were planned to undergo tumor resection surgery were selected, and subsequently randomly divided into 2 groups: group R and group I. During the perioperative period, group R received regular guidance and care, while group I was given care bundles based on regular care, which was aimed at the risk factors of postoperative delirium. Care bundles comprised of several special individualized care measures such as nursing education, psychological care, cognitive stimulation, early activity, maintaining the sleep-wake cycle and etc. At the same time, RASS, CAM-ICU, VAS scale and QoR40 scores were dynamically monitored. All statistical analysis was performed by using SPSS16.0 software package. RESULTS: There was no significant difference between the 2 groups in general characteristics. RASS scores and QoR40 scares during the three postoperative days in group I were better than group R; moreover, the incidences and duration of postoperative delirium in group I were less than group R. No significant difference was seen in VAS scores between the 2 groups. CONCLUSIONS: Care bundles against risk factors on postoperative delirium in elderly oral cancer patients could ameliorate RASS scores and decrease postoperative delirium.

Key words: Postoperative delirium, Elderly patients, Oral cancer, Nursing care

CLC Number:

R473.98

ZHANG Yan, YIN Qi, LI Yan, NI Ying, SUN Lu-lu, GUO Yong. Impact of care bundles and usual care on postoperative delirium in elderly oral cancer patients[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(2): 162-166.

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