3+1整体康复护理对老年全麻髋关节置换术POCD患者中认知功能恢复和生活质量的影响

doi:10.3969/j.issn.1671-7171.2018.05.009

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摘要【目的】观察3+1整体康复护理对老年全麻髋关节置换术后认知功能障碍(POCD)患者认知功能恢复和生活质量的影响。【方法】选取2015年9月至2017年9月本院诊治的老年全麻髋关节置换术POCD患者92例,根据随机数表法分为对照组和观察组,每组46例。两组均给予基础治疗,对照组采用常规护理,观察组采用3+1整体康复护理,持续干预至出院。比较两组干预前后简易精神状态检查表(MMSE)评分、日常生活能力量表(ADL)评分及世界卫生组织生活质量测评简表(WHO QOL-BREF)评分。【结果】干预后两组MMSE评分中的定向力、记忆力、注意力和计算力、回忆能力、语言能力等方面评分均较干预前显著升高(P＜0.05),且观察组显著高于对照组(P＜0.05);干预后两组ADL评分均较干预前显著降低(P＜0.05),且观察组显著低于对照组(P＜0.05);干预后两组WHO QOL-BREF评分中的生理、心理、社会关系、环境等领域评分均较干预前显著升高(P＜0.05),且观察组显著高于对照组(P＜0.05)。【结论】3+1整体康复护理能有效促进老年全麻髋关节置换术POCD患者认知功能恢复,改善生活质量,值得临床推广应用。

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	涂婵
	张理宾
	邢航
	吴建峰

关键词 ：康复护理, 关节成形术, 置换, 髋/副作用, 认知障碍/病因学, 麻醉, 全身, 认知, 生活质量

Abstract：【Objective】To observe the effects of 3+1 holistic rehabilitation nursing on cognitive function recovery and quality of life in elderly patients with Postoperative cognitive dysfunction (POCD) after general anesthesia hip replacement. 【Methods】A total of 92 elderly patients with POCD after general anesthesia hip replacement treated in our hospital from September 2015 to September 2017 were randomly divided into the control group and the study group, with 46 cases in each group. Both groups were given basic treatment. Routine nursing care was applied to patients in the control group, while 3+1 holistic rehabilitation nursing was applied to patients in the study group, with the intervention continuing until patient discharge. The mini mental state examination (MMSE) score, activity of daily living scale (ADL) score and the world health organization quality of life- brief scale (WHO QOL-BREF) score were compared between the two groups before and after intervention. 【Results】After intervention, the scores of MMSE (orientation, memory, attention, calculation, recall ability and language ability) in the two groups were significantly higher than those before the intervention (P<0.05), and were significantly higher in the study group compared tothe control group (P<0.05).The ADL scores in the two groups after intervention were significantly lower than those before intervention (P<0.05), and the ADL score in the study group was significantly lower than that in the control group (P<0.05). After intervention, the scores of the two groups in the physiology, psychology, social relations and environment were significantly higher than those before the intervention (P<0.05) and those in the study group were significantly higher than those in the control group (P<0.05). 【Conclusion】3+1 holistic rehabilitation nursing can effectively promote the recovery of cognitive function and improve the quality of life for the elderly POCD patients with general anesthesia hip replacement.

Key words： RehabilitationNursing Arthroplasty,Replacement,Hip/AE CognitionDisorders/ET Anesthesia,General Cognition QualityofLife

收稿日期: 2018-02-06

PACS:

R684.75

基金资助:广东省中医药局科研课题(项目编号:20162111)

引用本文:

涂婵, 张理宾, 邢航, 吴建峰. 3+1整体康复护理对老年全麻髋关节置换术POCD患者中认知功能恢复和生活质量的影响[J]. 医学临床研究, 2018, 35(5): 860-863.
TU Chan, ZHANG Li-bin, XING Hang,et al. Effects of 3+1 Holistic Rehabilitation Nursing on Cognitive Function Recovery and Quality of Life in Elderly Patients with POCD after General Anesthesia Hip Replacement. JOURNAL OF CLINICAL RESEARCH, 2018, 35(5): 860-863.

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http://www.jcr.net.cn/CN/10.3969/j.issn.1671-7171.2018.05.009 或 http://www.jcr.net.cn/CN/Y2018/V35/I5/860

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