解释性语言对一氧化碳中毒患者认知行为的影响研究  

Effects of Explanatory Language on the Cognition and Behaviors in Patients with Carbon Monoxide Poisoning

作　　者：祝全香 唐树芝[1] 李颖[1] 耿旭[1] 刘桂红[1] 李晓英[1] 

机构地区：[1]唐山工人医院急症内科,河北省唐山市063000

出　　处：《中国全科医学》2011年第2期200-202,共3页Chinese General Practice

摘　　要：目的探讨解释性语言对一氧化碳中毒患者住院期间认知行为的干预作用。方法选择性地对一氧化碳中毒患者实施解释性语言干预,每天至少一次,连续10 d,以科学为依据正确地解释和判断患者提出的问题及其与疾病有关的事项。自制问卷调查表,对两组患者及家属进行问卷调查,评估患者及家属的认知情况。结果经过解释性语言干预,干预组患者能够坚持疗程治疗,平均住院时间较对照组延长,差异有统计学意义(t=8.29,P<0.001)。经过住院观察及离院后追踪调查脑病的发生率,干预组为5.46%,对照组为18.18%,干预组的脑病发生率明显低于对照组,差异有统计学意义(χ2=4.27,P<0.05)。干预组患者对疾病的认知情况明显好于对照组,差异有统计学意义(P<0.05)。结论通过解释性语言的干预,使患者认知行为偏差得以矫正,能够正确面对疾病,配合医务人员的治疗和护理,坚持疗程治疗,延长了住院时间,有效地降低了脑病的发生率,对一氧化碳中毒患者的治疗效果起到了一定的促进作用。Objective To explore the effects of explanatory language on the cognition and behaviors in patients with carbon monoxide（CO） poisoning.Methods Explanatory language intervention was applied selectively in patients with CO poisoning for consecutively 10 days.The questions proposed by patients and other disease-related issues were judged and interpreted.Using a self-designed questionnaires,we assessed the cognition of patients and their families for consecutively 5 days.Results By the application of explanatory language intervention,the patients in the intervention group could adhere to the treatment course,with a significantly longer hospital stay than the control group（t=8.29,P〈0.001）.The incidence of encephalopathy was 5.46% in intervention group and 18.18% in control group during hospital stay and follow-up（χ^2=4.27,P〈0.05）.The improvement of cognition showed significant superiority in intervention group than in control group（P〈0.05）.Conclusion The application of explanatory language is helpful to adjust cognitive and behavioral deviations in patients,and promote the treatment effectiveness among patients with CO poisioning.

关 键 词：解释性语言 一氧化碳中毒 认知行为 

分 类 号：R595.1[医药卫生—内科学]