CICARE沟通模式对自身免疫性脑炎患者认知功能损伤的护理干预效果
作者: |
1袁雁,
1袁恋,
1阎胜男
1 中南大学湘雅医院神经内科,长沙 410008 |
通讯: |
袁雁
Email: 274899115@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2021.04.019 |
摘要
目的:探讨CICARE沟通模式对自身免疫性脑炎(autoimmune encephalitis,AE)患者认知功能损伤的护理干预效果。方法:选择2017年12月至2019年6月中南大学湘雅医院确诊的AE患者共66例,随机分为对照组和观察组,各33例;对照组采用常规专科护理,观察组在此基础上结合CICARE沟通模式,疗程为14 d。比较两组患者干预前后认知功能评分,包括记忆能力(memory quotient,MQ)、智商(intelligence quotient,IQ)和脑部受损程度(development quotient,DQ);评估患者对疾病知识的掌握程度和护理能力;比较两组护理服务质量和满意度。结果:干预前,两组患者认知功能比较差异无统计学意义(P>0.05)。干预后,两组MQ和IQ评分较前增加(均P<0.01),DQ降低(P<0.05)。观察组疾病知识的掌握和护理能力评分较对照组增加(均P<0.001)。与对照组相比,观察组护理服务质量和满意度均提升(均P<0.01)。结论:对有认知功能损伤的AE患者提供CICARE沟通模式的护理干预能够明显改善患者的认知功能,增强疾病知识的掌握和护理能力,改善护理服务质量,提高患者的满意度。
关键词:
自身免疫性脑炎;认知功能损伤;CICARE沟通模式;护理
Nursing intervention effect of CICARE communication mode on cognitive impairment in patients with autoimmune encephalitis
CorrespondingAuthor: YUAN Yan Email: 274899115@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.04.019
Abstract
Objective: To explore the nursing intervention effect of CICARE mode on cognitive impairment in patients with autoimmune encephalitis. Methods: A total of 66 patients diagnosed with autoimmune encephalitis (AE) at Xiangya Hospital of Central South University from December 2017 to June 2019 were enrolled, and they were randomly assigned into a control group and an observation group, 33 cases in each group. The control group was given routine specialized nursing, and the observation group was given CICARE communication mode for 14 days except for nursing. The cognitive function scores of the two groups were compared with themselves before and after intervention, including memory ability (MQ), intelligence quotient (IQ), and brain damage (DQ), mastery of disease knowledge and nursing ability score, nursing quality score and satisfaction rate. Results: Before intervention, cognitive function between the two groups has no statistical significance (P>0.05). After intervention, MQ and IQ scores in the two groups increased (both P<0.01) and DQ score decreased (P<0.05). In the observation group, the scores about mastery of disease knowledge and nursing ability were higher than those of the control group (both P<0.001). Compared with the control group, the quality and satisfaction of nursing service in the observation group were improved (both P<0.01). Conclusion: In patients with AE, providing nursing intervention with CICARE communication mode can greatly improve their cognitive function, enhance their mastery of disease knowledge and nursing ability, improve nursing service, and increase the patients’ satisfaction.
Keywords:
autoimmune encephalitis; cognitive function impairment; CICARE communication mode; nursing