家属参与个性化干预对轻度认知功能损害患者静脉输液安全的影响

Impact of Personalized Intervention with Family's Participation on the Security of Intravenous Infusions in Patients with Mild Cognitive Impairment

目的探讨家属参与个性化护理干预对轻度认知功能损害患者静脉输液安全的影响。方法将2013年9月至12月在中心注射室进行静脉输液治疗的MCI患者39例为对照组,2014年1月至4月的MCI患者40例为观察组,对两组患者进行相同内容的护理干预,观察组患者家属参与护理干预的全过程。1个月后,比较两两组患者的蒙特利尔认知评估量表(MoCA)各认知域得分及总分、输液安全问题发生率及对输液过程满意度。结果干预后观察组MoCA各认知域得分及总分、输液安全问题发生率及对输液过程满意度均优于对照组,比较差异有统计学意义(P<0.05)。结论家属参与个性化护理干预不仅能改善MCI患者的认知功能,而且能有效减少患者输液安全问题的发生率,提高其对输液过程的满意度。

Objective To explore the effect of personalized intervention with family＇s participation on the security of intravenous infusions in patients with mild cognitive impairment （MCI）. Methods 39 cases of MCI patients with intravenous infusions in our hospital from September 2013 to December 2013 were selected as the control group, while 40 cases of MCI patients from January 2014 to April 2014 were selected as the observation group. All patients received same nursing intervention;in addition, patients in the observation group had family＆#39;s participation during the nursing intervention process. The scores of Montreal cognitive assessment （MoCA）, incidence of safety issues during intravenous infusion and satisfaction to intravenous infusion were compared between two groups. Results The observation group was superior to the control group in the scores of MoCA, incidence of safety issues during intravenous infusion and satisfaction to intravenous infusion （P 〈0.05）. Conclusions Personalized intervention with family＇s participation can effectively improve MCI patients＇ cognitive function, reduce the incidence of safety issues during intravenous infusion, and improve patients＇ satisfaction to intravenous infusion.