临床护理路径对老年颅脑损伤后智力缺损和精神异常患者认知行为的效果分析
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摘要
目的研究临床护理路径对老年颅脑损伤后智力缺损和精神异常患者认知行为的影响。方法选择我院2013年1月～2016年1月期间收治的87例老年颅脑损伤后智力缺损或精神异常患者,随机分为对照组42例和观察组45例,对照组给予常规护理,观察组采用临床护理路径模式,记录比较两组患者护理前后认知功能、生活自理能力、生活质量和精神状态。结果护理后24、48周,观察组患者MMSE评分高于对照组(P<0.05);护理后12、24、48周,观察组患者ADL评分高于对照组(P<0.05);护理后,两组患者生活质量各项评分均上升,且观察组均高于对照组(P<0.05);护理后,两组患者社会兴趣、社会能力、个人卫生评分升高,观察组高于对照组;两组患者精神病表现、易激惹、迟滞和抑郁评分均降低,观察组低于对照组(P<0.05)。结论对老年颅脑损伤后精神异常或智力缺损患者采用临床护理路径,可以有效改善认知功能,提高生活质量。
Objective Objective to study the influence of clinical nursing pathway on cognitive impairment in patients with mental retardation and mental disorders after craniocerebral trauma. Methods Chosen 87 elderly patients with mental retardation and mental disorder after craniocerebral injury in our hospital from January 2013 to January 2016,according to the principle of random control,which can be divided into the control group of 42 cases and 45 cases in the observation group,the control group used routine nursing,the observation group used clinical nursing path mode,recording two groups were compared before and after nursing cognitive function,self-care ability,quality of life and mental state. Results After 24 and 48 weeks care,the scores of MMSE in the observation group were higher than control group(P<0.05);The scores of ADL in the observation group were higher than those in the control group at 12,24 and 48 weeks after the treatment,(P<0.05);After nursing,the scores of quality of life of the two groups increased,and the observation group was higher than the control group(P<0.05). After nursing,two groups of social interest,social ability and personal hygiene were increased,the observation group than the control group;two patients with psychiatric manifestations,irritability,hysteresis and depression scores were lower in observation group than in the control group(P<0.05). Conclusion The clinical nursing path of mental disorder after craniocerebral injury or mental defect in elderly patients,can relieve mental symptoms,improve cognitive function,improve the living ability of nursing.
Objective Objective to study the influence of clinical nursing pathway on cognitive impairment in patients with mental retardation and mental disorders after craniocerebral trauma. Methods Chosen 87 elderly patients with mental retardation and mental disorder after craniocerebral injury in our hospital from January 2013 to January 2016,according to the principle of random control,which can be divided into the control group of 42 cases and 45 cases in the observation group,the control group used routine nursing,the observation group used clinical nursing path mode,recording two groups were compared before and after nursing cognitive function,self-care ability,quality of life and mental state. Results After 24 and 48 weeks care,the scores of MMSE in the observation group were higher than control group(P<0.05);The scores of ADL in the observation group were higher than those in the control group at 12,24 and 48 weeks after the treatment,(P<0.05);After nursing,the scores of quality of life of the two groups increased,and the observation group was higher than the control group(P<0.05). After nursing,two groups of social interest,social ability and personal hygiene were increased,the observation group than the control group;two patients with psychiatric manifestations,irritability,hysteresis and depression scores were lower in observation group than in the control group(P<0.05). Conclusion The clinical nursing path of mental disorder after craniocerebral injury or mental defect in elderly patients,can relieve mental symptoms,improve cognitive function,improve the living ability of nursing.
引文
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2.佘会英,闫保良.早期康复护理干预对颅脑损伤患者神经功能障碍恢复的作用[J].河北医药,2015,37(16):2529-2531.
3.许国萍,杨梅,罗冬梅.综合护理干预对创伤性颅脑损伤患者肢体运动及认知功能的影响[J].中国现代药物应用,2015,9(04):133-135.
4.吴冬凌,李学武,李毅,等.精神损伤鉴定患者家属生活质量现状及护理干预[J].齐鲁护理杂志,2015,21(03):21-23.
5.李英杰.早期系统康复护理对创伤性颅脑损伤患者的神经、肢体及认知功能恢复效果分析[J].中国实用神经疾病杂志,2014,17(17):101-102.
6.雷晓霞,陈劲团.护理干预在颅脑损伤所致精神障碍患者中应用的临床效果观察[J].中国医学创新,2014,11(17):88-90.
7.陈贞素,郑锦辉,方志红,等.早期康复护理干预对创伤性颅脑损伤患者肢体运动和认知功能的影响[J].中国医药导报,2014,11(05):123-125.
8.孙建兰,周洪兰,丁玉琴.护理路径对老年颅脑损伤后智力缺损及精神异常患者认知行为的影响[J].中国实用医药,2016,11(23):259-260.