护理干预对额叶胶质瘤患者术前焦虑及术后认知功能影响.docVIP

护理干预对额叶胶质瘤患者术前焦虑及术后认知功能影响 　　[摘要] 目的 探讨护理干预对额叶胶质瘤患者术前焦虑及术后认知功能的影响。 方法 选择患者80例，分为两组，各40例，对照组采用常规护理，如一般护理、心理干预、药物护理、健康教育等，观察组则实施本研究护理方法，使用汉密尔顿焦虑量表对患者护理干预前后焦虑情况进行评价，使用常识-记忆力-注意力测验（IMCT）对患者智力进行评价，并统计两组护理满意度。 结果 干预后观察组汉密尔顿焦虑量表评分显著低于对照组及干预前（P0.05），常识-记忆力-注意力测验结果高于对照组及干预前（P0.05），观察组优良率为90.0%，显著高于对照组的67.5%（P0.05）。 结论 有效的护理干预措施能促进患者神经功能的恢复，提高其认知功能，改善术后生活质量，延长患者生存时间。 　　[关键词] 护理；额叶；胶质瘤患者；术后认知；术前焦虑 　　[中图分类号] R473.7 [文献标识码] B [文章编号] 2095-0616（2013）24-135-03 　　Nursing intervention on frontal glioma patients with preoperative anxiety and postoperative cognitive 　　LI Ying 　　Department of Neurosurgery，the First Peoples Hospital in Shenyang City，Shenyang 110041，China 　　[Abstract] Objective To investigate the effect of nursing intervention on frontal glioma patients with preoperative anxiety and postoperative cognitive. Methods 80 cases were divided into two groups，each 40 cases，the control group were received routine care，such as general care，psychological intervention，drug treatment，health education，the observation group were used the implementation of this care methods，then Hamilton Anxiety Scale Anxiety patient care before and after intervention were evaluated and sense - memory - Attention Test （IMCT） were evaluated and nursing satisfaction were statisticalled in the two groups. Results The observed after intervention with Hamilton Anxiety Scale scores were significantly lower than control group and the pre-intervention （P0.05），sense-memory-attention were significantly lower than control group and the pre-intervention （P0.05），the observation group superior was 90.0% and they were significantly higher than 67.5% of control group（P0.05）. Conclusion Effective nursing interventions can promote the recovery of neurological function and improve cognitive function，so it can improve postoperative quality of life and prolong survival time. 　　[Key words] Care；Frontal；Glioma patients；Postoperative cognitive；Preoperative anxiety 　　额叶作为人体大脑皮质中最重要的智能中枢之一，主要支配人体的语言、计算、情感和人格等最高级的人类智力活动[