학술논문
认知心理护理在颅脑损伤患者中的应用效果 / Application Effect of Cognitive Psychological Nursing in Patients with Craniocerebral Injury
Document Type
Academic Journal
Author
Source
中外医学研究 / Chinese and Foreign Medical Research. 21(35):98-101
Subject
Language
Chinese
ISSN
1674-6805
Abstract
目的:探讨认知心理护理在颅脑损伤患者中的应用效果.方法:选择 2020 年 1 月—2022 年 1 月中国人民解放军联勤保障部队第九一〇医院收治的 102 例颅脑损伤患者作为研究对象,采用随机数表法将患者分为观察组(n=51,常规护理+认知心理护理干预)和对照组(n=51,常规护理),两组均干预 3 个月,比较两组认知功能、神经功能缺损程度、肢体功能、抑郁焦虑情绪、应激障碍程度、满意度.结果:干预后,两组美国国立卫生院神经功能缺损(NIHSS)评分、创伤后应激障碍自评量表(PTSD-SS)各维度评分及总分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分较干预前降低,且观察组低于对照组,两组简易精神状态检查量表(MMSE)评分、Fugl-Meyer评定量表(FMA)评分较干预前升高,且观察组高于对照组,观察组干预后总满意度高于对照组,差异有统计学意义(P<0.05).结论:认知心理护理可有效减轻颅脑损伤患者的神经损伤,改善认知及肢体功能,缓解负面情绪,减轻应激障碍,提高满意度.
Objective:To explore the application effect of cognitive psychological nursing in patients with craniocerebral injury.Method:A total of 102 patients with craniocerebral injury who admitted to the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from January 2020 to January 2022 were selected as the research objects,the patients were divided into the observation group(n=51,routine nursing+cognitive psychological nursing intervention)and the control group(n=51,routine nursing)by random number table method,two groups were intervened for 3 months.The cognitive function,neurological impairment degree,limb function,depression and anxiety,stress disorder degree and satisfaction degree of two groups were compared.Result:After intervention,the National Institutes of Health stroke scale(NIHSS)scores,scores of each dimension and total scores of post-traumatic stress disorder self-rating(PTSD-SS),self-rating depression scale(SDS)scores and self-rating anxiety scale(SAS)scores in two groups were decreased compared with those before intervention,and those in the observation group were lower than those in the control group,the scores of mental state examination scale(MMSE)and Fugl-Meyer rating scale(FMA)in two groups were increased compared with those before intervention,and those in the observation group were higher than those in the control group,the total satisfaction of the observation group after intervention was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Cognitive psychological nursing in patients with craniocerebral injury can effectively reduce the neurological injury,improve cognitive function and limb function,relieve negative emotions,reduce stress disorders,improve satisfaction.
Objective:To explore the application effect of cognitive psychological nursing in patients with craniocerebral injury.Method:A total of 102 patients with craniocerebral injury who admitted to the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from January 2020 to January 2022 were selected as the research objects,the patients were divided into the observation group(n=51,routine nursing+cognitive psychological nursing intervention)and the control group(n=51,routine nursing)by random number table method,two groups were intervened for 3 months.The cognitive function,neurological impairment degree,limb function,depression and anxiety,stress disorder degree and satisfaction degree of two groups were compared.Result:After intervention,the National Institutes of Health stroke scale(NIHSS)scores,scores of each dimension and total scores of post-traumatic stress disorder self-rating(PTSD-SS),self-rating depression scale(SDS)scores and self-rating anxiety scale(SAS)scores in two groups were decreased compared with those before intervention,and those in the observation group were lower than those in the control group,the scores of mental state examination scale(MMSE)and Fugl-Meyer rating scale(FMA)in two groups were increased compared with those before intervention,and those in the observation group were higher than those in the control group,the total satisfaction of the observation group after intervention was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Cognitive psychological nursing in patients with craniocerebral injury can effectively reduce the neurological injury,improve cognitive function and limb function,relieve negative emotions,reduce stress disorders,improve satisfaction.