高压氧疗法对颅脑损伤患者BI指数、GCS、SAS、SDS的影响

摘要

目的:分析心理护理干预对颅脑损伤高压氧治疗患者的干预效果及对患者抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-Rating Anxiety Scale ,SAS)、格拉斯哥评分(GCS)、Barthel指数(Barthel,index,BI)的影响.方法:收集2015年9月~2016年9月我院收治的颅脑损伤患者84例,按照随机单盲法分为观察组(n=42)和对照组(n=42),均给予高压氧治疗,对照组给予常规护理,观察组实施心理护理干预.结果:治疗后2、8周,观察组患者GCS评分[(7.79±1.42)、(11.86±2.56)分],高于对照组[(6.23±1.01)、(8.21±1.65)分](P<0.05);治疗后,观察组患者SAS、SDS评分[(39.14±1.21)、(41.67±1.12)分]低于对照组[(45.56±2.50)、(56.89±2.47)分](P<0.05);观察组BI指数对照组, NFD评分低于对照组,差异具有统计学意义(P<0.05).结论:对高压氧治疗的颅脑损伤患者,心理护理干预有利于改善不良心理状态和意识状态,提高日常生活活动能力,促进神经功能恢复,可在临床积极推广和应用.%Objective: To research and analyze the effect of psychological nursing intervention on self-rating depression (SDS), self-rating anxiety scale (SAS), Glasgow score (GCS) and Barthel index (BI).Methods: From September 2015 to September 2016, 84 patients with craniocerebral injury admitted to our hospital were divided into observation group (n=42) and control group (n=42) according to randomized single blindness method.All patients were treated with hyperbaric oxygen therapy.The patients in the control group were given routine nursing care, while those who were in observation group were treated by psychological nursing intervention.Results:The scores of GCS in the observation group after treatment 2 weeks, 8 weeks were (7.79±1.42), (11.86±2.56) respectively, which were significantly higher than the scores (6.23±1.01),(8.21±1.65) in the control group (P<0.05).The scores of SDS and SAS in the observation group were (39.14±1.21), (41.67±1.12), which were significantly lower than the scores (45.56±2.50), (56.89±2.47) in the control group (P<0.05).The BI index of the observation group was (43.29±4.63), which was significantly higher than the score (36.83±3.10) in the control group (P<0.05).The score of NFD was (23.12±1.01) in the observation group, which was significantly lower than (28.45±1.67) in the control group (P<0.05).Conclusions: For patients with craniocerebral injury treated by hyperbaric oxygen therapy, psychological nursing intervention is helpful to improve their unhealthy psychological and consciousness state, enhance their ability of daily living activities and promote their recovery of neurological function.Therefore, psychological nursing intervention can be actively promoted and applied in clinical practice.