认知理念为导向的护理模式在病毒性脑炎伴精神症状患者中的应用

Application of Cognition-oriented nursing model in patients with viral encephalitisand mental symptoms

目的探讨认知理念为导向的护理模式在病毒性脑炎(VE)伴精神症状患者中的应用效果。方法按照随机数表法将我院2016年6月至2017年12月诊治的98例VE伴精神症状患者分为常规组(47例)和认知组(51例),常规组给予常规护理干预,认知组给予以认知理念为导向的护理模式。比较两组患者干预前后心理状态、运动痉挛、睡眠质量和生存质量,并统计两组患者干预期间风险事件发生率,调查患者对护理模式的满意度。结果干预后认知组焦虑抑郁评分显著低于常规组,痉挛程度低于常规组,风险事件总发生率低于常规组,患者精力、情感、社会身体活动评分低于常规组(P<0.05),两组疼痛评分比较差异无统计学意义(P>0.05);认知组患者护理态度、护理效率以及健康宣教满意度评分均高于常规组(P<0.05),两组工作能力满意度比较差异无统计学意义(P>0.05)。结论以认知理念为导向的护理模式应用于VE伴精神症状患者中,可较好的改善负面心理状态,促进患者运动痉挛症状的改善,减少风险事件发生率,提高生存质量和护理满意度。

Objective To investigate the effect of application of cognitive concept oriented nursing model in patients with viral encephalitis(VE)and mental symptoms.Methods A total of 98 patients with VE and mental symptoms,who were diagnosed and treated in our hospital from June 2016 to December 2017,were divided into routine group(n=47)and cognition group(n=51)by using random number table method.The routine group received routine nursing interventionwhile the cognition group received cognitive concept oriented nursing model.The psychological status,exercise spasm,sleep quality and quality of life before and after intervention were compared between the two groups.The incidences of risk events during intervention were counted and patients'satisfaction level was investigated.Results After intervention,the anxiety and depression scores of the cognition group were significantly lower than those of the routine group.The degree of spasm was milder and the total incidence of risk events was significantly lower inthe cognition group than those in the routine group.The scores of energy,emotionand social physical activity of the cognition group were also significantly lower than those of routine group(P<0.05).There was no statisticallysignificant difference in pain scores between the two groups(P>0.05).The scores of patients'satisfaction with nursing attitude,nursing efficiency and health education in the cognition group were higher than those in the routine group(P<0.05),but there was no significant difference in satisfaction with work ability(P>0.05).Conclusion The application of cognitive concept oriented nursing model in patients with VA and mental symptoms can improve the patients'negative psychological status,promote the improvement of motor spasm symptoms,reduce the incidence of risk events,and improvethe quality of life and the nursing satisfaction.