早期护理对急性颅脑损伤合并颅内肿瘤患者的影响

Effects of early nursing on the patients with acute craniocerebral injury complicated by intracranial tumor

目的探究早期护理对急性颅脑损伤合并颅内肿瘤患者的影响。方法选取2018年10月至2019年10月收治的144例急性颅脑损伤合并颅内肿瘤患者,按照随机数字表法将患者分为常规组和研究组,每组72例。常规组采用常规护理方案,研究组采用早期护理方案。对急性颅脑损伤合并颅内肿瘤患者发生精神障碍的危险因素进行单因素及多因素分析,同时比较2组患者的精神障碍发生情况、智力状态检查量表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分及健康状态评分。结果研究组的精神障碍发生率显著低于常规组,差异有统计学意义(P<0.05)。研究组患者的MMSE评分、MoCA评分及健康状态评分均显著优于常规组,差异均有统计学意义(P<0.05)。单因素分析结果表示患者的性别、年龄、肿瘤类型及护理方式均是患者产生精神障碍的危险因素,而多因素分析结果显示患者的性别及护理方式是该类患者的独立危险因素。结论针对急性颅脑损伤合并颅内肿瘤患者实施早期护理,不仅能够减少患者精神障碍的发生率,同时能够提高患者的健康状态,具有较大的推广意义。

Objective To investigate the effects of early nursing on the patients with acute craniocerebral injury complicated by intracranial tumor.Methods A total 144 patients with acute craniocerebral injury complicated by intracranial tumor who were treated in our hospital from October 2018 to October 2019 were enrolled in the study.According to the random number table method,these patients were divided into control group and observation group.The patients in control group were treated by conventional nursing,however,the patients in observation group were treated by early nursing.The risk factors of mental disorders were analyzed by univariate and multivariate analysis,and the incidence of mental disorders,mental status examination scale(MMSE)score,Montreal cognitive assessment scale(MoCA)score and health status score were observed and compared between the two groups.Results After nursing intervention,the incidence rate of mental disorders in observation group was significantly lower than that in control group(P<0.05).The MMSE scores,MoCA scores and health status scores in observation group were superior to those in control group(P<0.05).Univariate analysis showed that patients’gender and age,tumor type and nursing style were risk factors for patients to develop mental disorders,however,multivariate analysis showed that patients’gender and nursing style were independent risk factors for the patients.Conclusion The early nursing can not only reduce the incidence of mental disorders of patients with acute craniocerebral injury complicated by intracranial tumor,but also improve the health status of patients,therefor,the nursing scheme is worth promoting in clinical practice.