HU Yanming, HOU Jianmei. Clinical Nursing Experience of Postoperative Delirium in an Elderly Patient after Hip Replacement Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI:
HU Yanming, HOU Jianmei. Clinical Nursing Experience of Postoperative Delirium in an Elderly Patient after Hip Replacement Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202506220001.
Clinical Nursing Experience of Postoperative Delirium in an Elderly Patient after Hip Replacement Surgery
This article summarizes the nursing experience of an elderly patient with postoperative delirium following hip replacement surgery. Through comprehensive interventions including preemptive analgesia, individualized psychological care, systematic comfort management, and phased rehabilitation guidance, the medical team accurately identified and effectively controlled the patient's delirium symptoms. These measures shortened the duration of delirium and hospitalization, reduced the risk of delirium recurrence, and accelerated postoperative limb functional recovery without severe complications. The patient achieved favorable clinical outcomes, with significant improvement in condition and successful discharge.
LIU J X , QIU T , WANG Q , et al . Influencing factors of quality of life for patients after hip replacement surgery: a scoping review [J]. Chin Evid Based Nurs , 2025 , 11 ( 8 ): 1523 - 1529 . (in Chinese)
XIE Z H , YU P G , ZHONG K , et al . The efficacy of biological artificial femoral head replacement for elderly patients with femoral neck fractures [J]. J Clin Orthop , 2023 , 26 ( 5 ): 654 - 658 . (in Chinese)
PENG G F , YANG S H . Decision analysis of hip arthroplasty in the treatment of senile femoral neck fracture [J]. Chin J Bone Jt , 2021 , 10 ( 6 ): 401 - 404 . (in Chinese)
SUN J H , LI Q , XIE L L , et al . Research progress on the classification of delirium severity in ICU patients [J]. J Nurs China , 2022 , 29 ( 10 ): 39 - 42 . (in Chinese)
WAN L , ZHAO Q , CHEN J , et al . Expert consensus on the application of pain evaluation questionnaires in China(2020) [J]. Chin J Painology , 2020 , 16 ( 3 ): 177 - 187 . (in Chinese)
ZHANG Y X , ZHANG L , TANG L , et al . Patient positioning and nursing cooperation of arthroscopic surgery of the shoulder: a case report [J]. Chin J Integr Nurs , 2023 ( 2 ): 206 - 209 . (in Chinese)
Chinese Society for the Transformation and Development of Rehabilitation Technology , Anesthesiology Branch of the Chinese Medical Association , Anesthesiology Physicians Branch of the Chinese Medical Doctor Association , et al . Expert consensus on chronic disease management in perioperative patients with enhanced recovery after surgery in orthopaedics and anesthesiology (2025 version) [J]. Chin J Orthop , 2025 , 45 ( 11 ): 700 - 708 . (in Chinese)
YANG L X . The effect of family-centered collaborative nursing combined with sleep nursing on sleep quality in elderly patients with diabetes mellitus complicated with sleep disorders [J]. World J Sleep Med , 2024 , 11 ( 11 ): 2473 - 2476 . (in Chinese)
YOU S Y , YANG L L , XIONG Y , et al . Muscle strength training in preventing dislocation of the prosthesis after hip replacement [J]. J Trauma Surg , 2023 , 25 ( 6 ): 471 - 475, 封 3 . (in Chinese)
WANG Y , XU Y , DENG H B , et al . Development of health science popularization works for the prevention of deep vein thrombosis in patients after joint replacement [J]. Chin J Nurs , 2024 , 59 ( 6 ): 699 - 705 . (in Chinese)
HAN Y , JIA F F , LU Q , et al . Expert consensus on perioperative basic prevention for lower extremity deep venous thrombosis in elderly patients with hip fracture (version 2024) [J]. Chin J Trauma , 2024 , 40 ( 9 ): 769 - 780 . (in Chinese)
WANG Y , XU Y , WANG X J , et al . Evidence summary for prevention of deep venous thrombosis in patients after joint replacement [J]. Chin J Nurs , 2021 , 56 ( 9 ): 1408 - 1414 . (in Chinese)
WANG J , SHUANG P Z , ZHAO L B , et al . Risk factors of postoperative delirium in elderly patients undergoing hip fracture repair surgery [J]. J Clin Anesthesiol , 2023 , 39 ( 3 ): 235 - 240 . (in Chinese)
LI P P , RAO M M , DOU X R , et al . Perioperative management of postoperative delirium in elderly patients: a bibliometric analysis from 2014 to 2023 [J]. J Shenyang Med Coll , 2025 , 27 ( 2 ): 180 - 186 . (in Chinese)
LIU D , YANG W X . Effect of humanistic care on the clinical symptoms of patients with confu-Sion after artificial hip replacement [J]. China Mod Med , 2021 , 28 ( 25 ): 270 - 272, 276 . (in Chinese)
SONG Y H , MIAO Y M . Effect of pain nursing intervention on delirium, pain factors and stress factors in ICU patients [J]. Mod Nurse , 2022 , 29 ( 8 ): 56 - 58 . (in Chinese)
MA Q X . Application effects of primary nursing in prevention of postoperative delirium in elderly patients with hip replacement [J]. Med J Chin People’s Health , 2023 , 35 ( 22 ): 168 - 171 . (in Chinese)
ZHANG H C , WU D , XU B . Perioperative intervention strategies based on PERMA model for postoperative delirium management in elderly patients with hip fractures [J]. Chin J Mod Oper Surg , 2025 , 29 ( 1 ): 63 - 68 . (in Chinese)