基于精神情感状况导向的照护模式在重症颅脑损伤术后恢复期患者中的应用

目的 探讨基于精神情感状况导向的照护模式在重症颅脑损伤术后恢复期患者中的应用效果。方法 选取2020年2月至2023年2月湖南中医药高等专科学校附属第一医院100例重症颅脑损伤恢复期患者，以奇偶数法分为对照组和干预组，各50例。对照组于术后恢复期给予常规护理干预，干预组在对照组的基础上给予基于精神情感状况导向的照护模式干预，干预1个月。比较两组干预前后负面情绪[焦虑自评量表（SAS）及抑郁自评量表（SDS）]、日常生活活动能力[改良Barthel指数（MBI）]及认知功能[蒙特利尔认知评估量表（Mo CA）]。结果 干预后，两组SAS、SDS评分低于干预前，且干预组低于对照组（P<0.05）；两组MBI、Mo CA评分高于干预前，且干预组高于对照组（P<0.05）。结论 基于精神情感状况导向的照护模式可改善重症颅脑损伤术后恢复期患者的负面情绪，提高日常生活活动能力和认知功能。

Application of mental and emotional state oriented care model in patients with severe head injury during postoperative recovery period

Objective To explore the application effect of mental and emotional state oriented care model in patients with severe head injury during postoperative recovery period. Methods From February 2020 to February 2023, 100 severe head injury patients with postoperative recovery period of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine were selected, and they were divided into control group and intervention group by odd even number method, with 50 patients in each group. Control group was given routine nursing intervention during postoperative recovery period, while intervention group received mental and emotional state oriented care model on the basis of control group, the intervention lasted for one month. Negative emotions (self-rating anxiety scale [SAS] and self-rating depression scale [SDS]), activities of daily living (modified Barthel index [MBI]), and cognitive function (Montreal cognitive assessment [MoCA]) before and after intervention between two groups were compared. Results After intervention, SAS and SDS scores of two groups were lower than those before intervention, and those of intervention group were lower than those of control group (P＜0.05); MBI and MoCA scores of two groups were higher than those before intervention, and those of intervention group were higher than those of control group (P＜0.05). Conclusion Mental and emotional state oriented care model can improve the negative emotions of patients with severe head injury during postoperative recovery period, and improve their daily living activities and cognitive function.