预见性护理措施在降低癫痫持续状态患者认知功能损害、改善负性情绪及降低不良事件发生率的作用

Role of Predictive Nursing Measures in Reducing Cognitive Impairment,Improving Negative Emotions and Reducing the Incidence of Adverse Events in Patients with Status Epilepticus

目的:探讨预见性护理措施在降低癫痫持续状态患者认知功能损害、改善负性情绪及降低不良事件发生率的作用。方法:将2017年3月-2019年3月本院收治的76例癫痫持续状态患者按照随机数字法分为对照组与研究组,每组38例。对照组予以常规护理措施,研究组予以预见性护理措施。比较两组蒙特利尔认知评估量表(MoCA)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、不良事件发生情况以及护理满意度。结果:两组干预前MoCA各维度评分及总分比较,差异均无统计学意义(P>0.05),干预后研究组语言、视空间技能与注意与集中、记忆、计算和定向力评分及总分均明显高于干预前与对照组(P<0.05)。干预后研究组执行功能与抽象思维评分与干预前比较,差异均无统计学意义(P>0.05)。干预后对照组MoCA各维度评分及总分与干预前比较,差异均无统计学意义(P>0.05)。两组干预前SDS、SAS评分比较,差异均无统计学意义(P>0.05),干预后两组SDS、SAS评分均低于干预前(P<0.05),干预后研究组SDS、SAS评分均低于对照组(P<0.05)。研究组不良事件发生率(5.26%)低于对照组(31.58%),差异有统计学意义(P<0.05)。研究组护理总满意度(94.74%)高于对照组(71.05%),差异有统计学意义(P<0.05)。结论:预见性护理措施在癫痫持续状态患者中应用可改善患者认知功能及心理状态,降低不良事件发生情况,患者具有较高的满意度。

Objective:To explore the role of predictive nursing measures in reducing cognitive impairment,improving negative emotions and reducing the incidence of adverse events in patients with status epilepticus.Method:76 patients with status epilepticus admitted to our hospital from March 2017 to March 2019 were divided into control group and research group according to the random number table method,38 cases in each group.The control group was given routine nursing measures,and the research group was given predictive nursing measures.The scores of montreal cognitive assessment scale(MoCA)scores,self-rating depression scale(SDS)scores,selfrating anxiety scale(SAS)scores,adverse events and nursing satisfaction were compared between the two groups.Result:There were no significant differences in all dimensions scores and total score of MoCA scores between the two groups before intervention(P>0.05).After the intervention,the language,visuospatial skills,attention and concentration,memory,calculation and directional force scores and total scores of the research group were significantly higher than those of before the intervention and the control group(P<0.05).There were no statistically significant differences in executive function and abstract thinking scores of the research group after intervention compared with those of before intervention(P>0.05).There were no significant differences in all dimensions scores and total score of Mo CA scores of the control group after intervention compared with those of before intervention(P>0.05).There were no significant differences in SDS and SAS scores between the two groups before intervention(P>0.05).The SDS and SAS scores of the two groups after intervention were lower than those of before intervention(P<0.05),the SDS and SAS scores in the research group after intervention were lower than those in the control group(P<0.05).The incidence of adverse events in the research group(5.26%)was lower than that in the control group(31.58%),the difference was statistically significant(P<0.05).The total nursing satisfaction of the research group(94.74%)was higher than that of the control group(71.05%),the difference was statistically significant(P<0.05).Conclusion:The application of predictive nursing measures in patients with epileptic status can improve the cognitive function and psychological state of patients,reduce the occurrence of adverse events,and patients have higher satisfaction.