人文护理干预对胸科麻醉术后老年患者并发认知功能障碍的影响

Effect of humanistic nursing intervention on the elderly patients with postoperative cognitive dysfunction after anesthesia of thoracic surgery

目的:探讨人文护理干预对胸科麻醉术后老年患者并发术后认知功能障碍(POCD)的影响。方法:将32例胸科麻醉术后并发POCD的老年患者随机分为观察组和对照组各16例,对照组给予术后常规护理,观察组在常规护理基础上予以系统的人文护理干预。比较两组护理效果及简易智力状态检查量表系统(MMSE)评分情况。结果:两组患者术后均未出现严重并发症;观察组患者平均住院时间明显短于对照组(P<0.05),治疗配合度、患者满意度、MMSE评分明显高于对照组(P<0.05,P<0.01)。结论:通过实施有针对性的护理干预措施,能够显著改善胸科老年患者的认知状态,具有较好的干预效果。

Objective：To investigate the effect of humanistic nursing intervention on the elderly patients with postoperative cognitive dysfunction after anesthesia of thoracic surgery. Methods ：32 elderly patients with postoperative cognitive dysfunction after anesthesia of tho- racic surgery were randomly divided into the observation group and the control group （ 16 cases in each group 7. The patients in the control group were given routine postoperative nursing care and the patients in the observation group were additionally given humanistic nursing in- tervention. The nursing effects and MMSE score were compared between the two groups. Results：No serious complications occurred in the patients in both groups ; the average hospitalization time was significantly shorter in the observation group than the control group （ P 〈 0.05 } ;the treatment compliance and satisfaction of the patients and MMSE score was significantly higher in the observation group than the control group （ P 〈 0.05, P 〈 0.01 ）. Conclusion： Implementation of the targeted nursing intervention can obviously improve the cognitive state of elderly patients with postoperative cognitive dysfunction after anesthesia of thoracic surgery.