认知心理护理干预对颅脑损伤患者认知功能、负面情绪及社会功能的影响

Effects of cognitive psychological nursing intervention on cognitive function,negative emotion and social function of patients with craniocerebral injury

目的探究认知心理护理干预对颅脑损伤患者的认知功能、负面情绪及社会功能的影响。方法选取我院2018年1月~2019年12月期间收治的92例颅脑损伤患者作为研究对象,按随机数字表法将研究对象随机分为观察组和对照组。对照组46例患者给予常规护理,观察组46例患者在此基础上增加认知心理护理干预,采用社会功能缺陷筛选量表(SDSS)评分评价患者干预前后的社会功能,威斯康星卡片分类测验(WCST)评价患者干预前后的认知功能;抑郁自评量表(SDS)和焦虑自评量表(SAS)评分评价患者干预前后的焦虑抑郁情绪。结果观察组患者干预后SDSS、SDS和SAS评分低于对照组;观察组患者干预后WCST中的总时间、错误思考时间低于对照组,概念化水平百分数高于对照组(P<0.05)。结论认知心理护理干预可有效降低颅脑损伤患者的负面情绪,提升其认知功能,促进患者社会功能的恢复,值得临床推广应用。

Objective To explore the effect of cognitive psychological nursing intervention on cognitive function,negative emotion and social function of patients with craniocerebral injury. Methods A total of 92 patients with craniocerebral injury admitted to our hospital from January 2018 to December 2019 were selected as study subjects and randomly divided into observation group and control group. The control group(46 cases)were given routine nursing,and the observation group(46 cases)were added with cognitive psychological nursing intervention on this basis. Social disability screening schedule(SDSS)score,Wisconsin card Classification Test(WCST)score,self-rating scale(SDS)score and anxiety self-rating scale(SAS)score before and after intervention between the two groups were compared. Results The scores of SDSS,SDS and SAS in the observation group were lower than those in the control group. The total time and wrong thinking time of patients in the observation group after intervention were lower than those in the control group,and the percentage of conceptualization level was higher than that in the control group(P<0.05). Conclusion Cognitive psychological nursing intervention can effectively reduce the negative emotions of patients with craniocerebral injury,improve their cognitive function,promote the recovery of patients’ social function,which is worthy of clinical promotion and application.