The influence of anesthesia recovery nursing under the ERAS concept on the cognitive function of elderly patients undergoing hip replacement surgery
ERAS理念下麻醉苏醒期护理对老年髋关节置换术患者认知功能的影响

摘要

目的 重点分析并探讨在快速康复外科（ERAS）理念指导下，麻醉苏醒期护理对老年髋关节置换术患者的具体影响效果，及其对患者认知功能的积极影响价值。本研究旨在通过对比分析，为患者探寻一种更加优质且完善的护理干预策略，以最大限度保障患者的生命健康。方法 研究期限设立为2023年7月至2024年7月，所选样本为本时段院内收治的老年髋关节置换术患者，人数共计86例，依据知情同意原则，采用系统抽样法进行组别划分，每组归入43例（n=43），分别命名为参照组与研究组，前者执行常规护理服务方案，后者在上述基础上，开展ERAS理念下麻醉苏醒期护理，而后进行相关数据的收集整理，疗效价值的比对分析。比对数据包含：认知功能、恢复指征、并发症发生率。结果 研究结束，统计学分析后发现，面对相同症状需求患者，采取不同形式的护理干预策略，所获效果亦有所不同，研究组患者在上述各项指标数值的体现上均显优参照组，以2.33％vs9.30％并发症发生率将试验价值体现，P值达小于0.05标准，值得探讨。结论 对于老年髋关节置换术患者而言，在其临床护理方案的横向选择中，建议优先采用ERAS理念下麻醉苏醒期护理，一方面能切实改善老年髋关节置换术患者认知及功能，促进其尽早恢复康健，同时还可极大降低患者认知功能障碍、谵妄等并发症发生率。

Abstract

Objective To investigate the specific effects of anesthesia and recovery nursing on elderly hip replacement patients under the rapid rehabilitation surgery (ERAS) concept, with particular emphasis on its positive impact on cognitive function. This study aims to explore a more comprehensive and high-quality nursing intervention strategy for patients through comparative analysis, thereby maximizing their health outcomes.
Methods The research period was from July 2023 to July 2024, involving 86 elderly hip replacement patients admitted during this timeframe. Following informed consent protocols, systematic sampling divided participants into two groups of 43 cases each (n=43), designated as the control group and study group respectively. The study group received ERAS-based anesthesia and recovery nursing while the control group followed standard care protocols. Data collection and efficacy comparison were conducted using indicators including cognitive function, recovery criteria, and complication rates.
Results Statistical analysis revealed that different nursing interventions yielded distinct outcomes when applied to patients with equivalent symptom requirements. The study group demonstrated superior performance across all metrics compared to the control group, evidenced by a significantly lower complication rate of 2.33% versus 9.30%, achieving statistical significance (p<0.05).
Conclusion   For elderly hip replacement patients, the ERAS (Extracurricular Rehabilitation and Support System) approach should be prioritized in clinical nursing care. This strategy not only effectively improves cognitive function and mobility in these patients, accelerating their recovery, but also significantly reduces complications such as cognitive impairment and delirium.