Effect of eCASH nursing model on postoperative delirium in elderly patients with hip surgery

Objective:To investigate the effects of eCASH nursing model on postoperative delirium in elderly patients with hip surgery.Methods:Thirty elderly patients with hip surgery from August to November in 2016 and 32 elderly patients with hip surgery from December 2016 to March in 2017 were divided into the control group and observation group,respectively.The control group and observation group were treated with the routine postoperative nursing and eCASH nursing management,respectively.All cases were evaluated using Nu-DESC within postoperative 3 days.The delirious state,VAS scores at different time-points,hospitalization time,and incidence rates of nausea and vomitting and unplanned extubation between two groups were compared after operation.Results:The different degrees of pain in two groups were identified before operation,but the difference of which was not statistically significant(P>0.05).There was no delirium in the 2 groups before operation.The delirious scores in observation group after 24,48 and 72 hours of operation were significantly lower than those in control group(P<0.01).The VAS scores at different time-points of postoperation,hospitalization time and incidence rates of nausea and vomitting and unplanned extubation in observation group were significantly lower than those in control group(P<0.01).Conclusions:The eCASH nursing model and early effective analgesia can effectively reduce the occurrence of postoperative delirium,hospitalization time and incidence rates of postoperative nausea and vomiting and unplanned extubation,which can provide the effective basis in preventing the postoperative complications in elderly patients with hip surgery.