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综合护理在自身免疫性脑炎患者中的应用效果

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目的:探讨综合护理在自身免疫性脑炎(AE)患者中的应用效果。方法:选取 2021 年 1 月—2023 年 1 月贵州医科大学附属医院收治的 86 例AE患者。根据随机数表法将其分为观察组和对照组,各 43 例。对照组给予常规护理,观察组在对照组基础上给予综合护理。比较两组治疗依从性,护理前后认知功能、心理状态、生活质量及护理满意度。结果:观察组治疗总依从率高于对照组,差异有统计学意义(P<0。05)。护理后,观察组脑病损值(DQ)评分低于对照组,记忆商(MQ)、智商(IQ)评分均高于对照组,差异有统计学意义(P<0。05)。护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0。05)。护理后,观察组心理、精神、环境、生理、社会关系、独立性、一般健康和生活质量评分均高于对照组,差异有统计学意义(P<0。05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0。05)。结论:综合护理能减轻AE患者负面情绪,提高治疗依从性,改善认知功能与生活质量,提升护理满意度。
Application Effect of Comprehensive Nursing in Patients with Autoimmune Encephalitis
Objective:To explore the application effect of comprehensive nursing in patients with autoimmune encephalitis(AE).Method:A total of 86 AE patients admitted to the Guizhou Medical University Affiliated Hospital from January 2021 to January 2023 were selected.According to random number table method,the patients were divided into observation group and control group,43 cases in each group.The control group was given routine nursing,and the observation group was given comprehensive nursing based on the control group.Treatment compliance,cognitive function,mental state,quality of life before and after nursing and nursing satisfaction were compared between the two groups.Result:The total treatment compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the brain lesion value(DQ)score of the observation group was lower than that of the control group,and the memory quotient(MQ)and intelligence quotient(IQ)scores were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of psychology,spirit,environment,physiology,social relationship,independence,general health and quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing can alleviate the negative emotions of AE patients,improve treatment compliance,improve cognitive function and quality of life,and enhance nursing satisfaction.

Autoimmune encephalitisComprehensive nursingTreatment compliancePsychological stateCognitive functionQuality of life

王琴

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贵州医科大学附属医院 贵州 贵阳 550002

自身免疫性脑炎 综合护理 治疗依从性 心理状态 认知功能 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(7)
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