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目的:对脑外科危重患者进行认知护理,分析其对患者应激反应及生活质量的影响。方法:选取2014年1月—2017年1月台州恩泽医疗中心(集团)台州医院收治的脑外科危重患者200例作为研究对象,根据收治时间不同将其分为观察组(n=100)与对照组(n=100)。对照组患者采取常规护理,观察组患者在采取常规护理的基础上外加认知护理,对两组护理前后精神状态(MMSE)评分变化情况、激素水平情况、应激性并发症发生率及生活质量评分进行比较。结果:在MMSE评分方面,两组患者经护理干预后均明显提高,差异具有显著性(P<0.05),且观察组提高程度明显高于对照组,差异具有统计学意义(P<0.05);与对照组比较,观察组护理干预后血管紧张素II、皮质醇水平及应激性并发症发生率均明显降低,差异具有统计学意义(P<0.05);在生活质量(SF-36)评分方面,两组护理干预后均较护理干预前明显提高,差异具有统计学意义(P<0.05),且观察组提高程度显著高于对照组(P<0.05)。结论:对脑外科危重患者进行认知护理能够有效促进其应激反应能力的恢复,减轻应激反应,并能够显著提高其生活质量,有助于患者的康复和预后,值得临床进一步推广应用。
OBJECTIVE: To provide cognitive nursing for critically ill patients with brain surgery and analyze their effects on stress response and quality of life. Methods: A total of 200 critically ill patients admitted to Taizhou Enze Medical Center (Group) Taizhou Hospital from January 2014 to January 2017 were selected as study subjects and divided into observation group (n = 100) and control group Group (n = 100). The patients in the control group were given routine nursing care. The patients in the observation group, on the basis of conventional nursing plus cognitive nursing, were divided into two groups: the change of MMSE scores, the hormone level, the incidence of stress complications and the quality of life Score for comparison. Results: In terms of MMSE score, the two groups were significantly improved after nursing intervention, the difference was significant (P <0.05), and the improvement in the observation group was significantly higher than that in the control group (P <0.05). Compared with the control group, the levels of angiotensin II, cortisol and stress complications in the observation group were significantly decreased after the intervention (P <0.05); in the quality of life (SF-36) score (P <0.05), and the improvement in the observation group was significantly higher than that in the control group (P <0.05). Conclusion: Cognitive nursing for critically ill patients in brain surgery can effectively promote the recovery of stress response, reduce the stress response, improve the quality of life and help patients recover and prognosis. It is worth further clinical application.