认知思维康复护理在急性一氧化碳中毒迟发性脑病中的应用

目的探讨认知思维康复护理在急性一氧化碳（CO）中毒迟发性脑病中的应用效果。方法选取2012年10月-2014年5月收治的70例急性CO中毒迟发性脑病患者为研究对象，其中2012年10月—2013年5月收治的37例患者纳入观察组，2013年11月—2014年5月收治的33例患者纳入对照组。对照组患者采取常规护理，观察组患者在对照组基础上采取认知、思维康复护理干预，比较两组患者临床效果。结果观察组患者干预前简易智能精神量表（MMSE）、改良长谷川痴呆量表（HDS）及日常生活能力（ADL）评分分别为（16．87±3．95），（18．90±3．65），（42．12±10．21）分，干预后分别为（25．04±2．00），（26．04±1．71），（86．12±8．93）分；对照组患者干预前MMSE、HDS及ADL评分分别为（16．86±3．92），（18．06±3．70），（43．01±11．23）分，干预后分别为（21．05±1．75），（20．97±1．65），（65．52±10．38）分，两组患者干预后MMSE、HDS及ADL评分均高于干预前，差异均有统计学意义（P〈0．05）；干预后观察组患者MMSE、HDS及ADL评分均高于对照组，差异均有统计学意义（t值分别为3．449，6．747，4．758；P〈0．05）；观察组患者护理总满意率（97．30％）高于对照组（87．88％），差异有统计学意义（χ^2=2．333，P〈0．05）。结论加强认知、思维康复护理干预，能提高急性CO中毒迟发性脑病患者认知能力及生活自理能力，提高患者满意度，值得临床推广应用。

Application of cognitive thinking rehabilitation nursing in the delayed encephalopathy after acute CO intoxication

Objective To explore the effect of cognitive thinking rehabilitation nursing on the delayed encephalopathy after acute CO intoxication. Methods From October 2012 to May 2013, totals of 37 cases with delayed encephalopathy after acute CO intoxication were selected as study group, and others 33 eases during November 2013 and May 2014 were recruited as control group. Study group received the rehabilitation nursing of cognitive thinking on the basis of routine nursing, while control group received the routine nursing only. Then, the clinical effect of two groups were observed. Results After the intervention, the scores of MMSE, HDS and ADL in study group were （ 16.87 ± 3.95 ）, （ 18.90 ± 3.65 ） and （42.12 ± 10.21 ）, that respectively higher than before the intervention （ 25.04 ± 2.00 ）, （ 26.04 ± 1.71 ） and （ 86. 12 ± 8.93 ）, and the differences were statistically significant （ P 〈 0.05 ）. In control group, scores of MMSE （ 21.05 ± 1.75 ） vs （ 16.86 ± 3.92） ], HDS（20.97±1.65） vs （18.06±3.70）] and ADL（65.52 ±10.38） vs （43.01 ±11.23）] after the intervention were higher than that before, and the differences were statistically significant （P 〈 0.05 ）. After the intervention, the scores of MMSE, HDS and ADL in study group were significantly higher than that in control group （ t = 3. 449,6. 747,4. 758, respectively ;P 〈 0.05 ）, and the nursing satisfaction of patients in study group was significantly higher than that in control group （ 97.30% vs 87.88% ; χ^2 = 2. 333, P 〈 0.05 ）. Conclusions Strengthen the rehabilitation nursing intervention of cognitive thinking can improve cognitive and self-care abilities of patients with delayed encephalopathy after acute CO intoxication, and improve patients＇ satisfaction, which is worthy of clinical popularization and application.