A study on Early Pathway Nursing Intervention for Cognitive Impairment in Elderly Patients Undergoing General Anesthesia in Thoracic Surgery

WANG Shijie; JIA Jia; WANG Shuqian

doi:10.13919/j.issn.2095-6274.J202403081

Abstract：Objective To explore the impact of early pathway nursing on postoperative cognitive impairment in elderly patients undergoing general anesthesia in thoracic surgery.Methods 144 elderly surgical patients ad-mitted to the thoracic surgery department of our hospital from December 2022 to December 2023 were included in the study.All enrolled patients received surgical treatment and general anesthesia during the surgery.Patients are randomly divided into two groups and received different clinical care.Each group included 72 patients.The control group received routine care,while the observation group received early pathway nursing intervention.We measured and compared the cognitive function scores of two groups before and one day after surgery,evaluated and calculated the incidence of postoperative cognitive impairment,and investigated patient satisfaction with clinical nursing.Re-sult Before surgery,the cognitive function scale scores of two groups of patients were measured and analyzed,and the test showed that there was no significant difference between the two groups(P＞0.05);One day after surgery,the postoperative cognitive function scale scores were measured again and compared between the two groups.Those of the control group was significantly lower than those of the observation group(P＜0.05).The postoperative sponta-neous breathing,eye opening,and consciousness recovery time in the observation group were significantly shorter than those in the observation group(P＜0.05).Referring to the cognitive function scores of two groups for cognitive dysfunction assessment,the total incidence rate of the control group was 12.50％,which was significantly higher than the observation group's 2.78％(P＜0.05).All enrolled patients underwent a satisfaction survey,and the results of the satisfaction survey on the implementation of clinical nursing plans were compared between the two groups.The average score of the observation group was signif-icantly higher than that of the control group(P＜0.05).Conclusion Early pathway nursing intervention can reduce the incidence of postoperative cognitive impairment and improve clinical satisfaction for elderly patients un-dergoing general anesthesia in thoracic surgery.