脊柱外科患者术后认知功能障碍的临床观察与护理

目的 探讨脊柱外科患者术后认知功能障碍（POCD）的护理方法.方法 对19例脊柱外科手术后出现认知障碍的患者进行严密观察、认知行为干预,做好安全护理、睡眠护理及舒适护理等.结果 对患者行针对性治疗和护理,精神症状持续3～10 d后逐渐缓解.出院后15例患者得到随访,发现术后认知功能障碍患者在出院后其精神症状逐渐消失,可以恢复到术前的精神状态.结论 脊柱外科患者术后认知功能障碍多发生于老年患者,通过细心观察和积极的护理干预可有效减轻POCD患者的认知损害,促进其认知功能恢复.

Clinical investigation and nursing on postoperative cognitive dysfunction in the patients undergoing spine surgery

Objective To investigate the nursing method to spine surgery inpatients suffering postoperative cognitive dysfunction. Methods Nineteen spine surgical patients who had postoperative cognitive dysfunction were closely observed , and special nursing measures such as cognitive behavioral intervention, save care, sleep care and comfort care were taken. Results Patients' mental symptoms lasting 3 ～ 10 days lessened gradually after receiving specific treatment and nursing. 15 Discharged Patients were followed up. Their cognitive dysfunction could improve gradually and could be recovered at last. Conclusions Postoperative cognitive dysfunction after Spine surgery can be found more easily in old patients. Careful observation and active nursing intervention can reduce the cognitive damage of POCD patients and promote their recovery effectively.