认知干预对急性一氧化碳中毒患者治疗依从性与疗效的研究  

Study on the treatment compliance and curative effect of cognitive intervention on patients with acute carbon monoxide poisoning

作　　者：卢艳飞[1] 周传尚 秦慧[2] LU Yanfei;ZHOU Chuanshang;QIN Hui(Department of Emergency,the First People′s Hospital of Nanning,Nanning 530022,China;Department of Hyperbaric Oxygen,the First People′s Hospital of Nanning,Nanning 530022,China)

机构地区：[1]南宁市第一人民医院急诊科,广西南宁530022 [2]南宁市第一人民医院高压氧科,广西南宁530022

出　　处：《中国现代医生》2021年第36期164-167,171,共5页China Modern Doctor

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016147)。

摘　　要：目的探讨认知干预对急性一氧化碳中毒(ACOP)患者治疗依从性与疗效的研究。方法选择2016年1月至2020年12月在急诊观察室、神经内科住院的80例ACOP患者,随机分成干预组和对照组,两组均常规给予脱水、支持对症、高压氧等治疗,对照组对患者实施治疗同时进行疾病相关知识等常规知识教育,干预组在对照组基础上加强疾病认知干预,两组患者出院后均随访3个月。比较两组患者治疗依从性;比较两组患者对疾病知识认知率;比较两组患者完成高压氧预计治疗次数;比较两组患者临床治疗效果;随访3个月比较两组患者CO中毒迟发性脑病发生率。结果干预组患者治疗依从率为92.50%,高于对照组的75.00%(P<0.05);干预组患者对疾病知识认知率为92.50%,高于对照组的52.50%(P<0.05);干预组患者完成高压氧预计治疗次数为87.50%,高于对照组的47.50%(P<0.05);干预组临床治疗效果为100.00%,高于对照组的82.50%(P<0.05)。随访3个月干预组无CO中毒迟发性脑病发生,对照组发生CO中毒迟发性脑病1例,差异无统计学意义(P>0.05)。结论认知干预使ACOP患者纠正认知偏差,能主动配合医护人员坚持疗程治疗,提高患者治疗依从性和临床治疗效果,对降低并发症有重要的间接作用。Objective To study the compliance and curative effect of cognitive intervention on patients with acute carbon monoxide poisoning(ACOP).Methods A total of 80 patients with ACOP hospitalized in the Emergency Room and Neurology Department from January 2016 to December 2020 were selected,and they were randomly divided into the intervention group and the control group.The two groups were routinely treated with dehydration,symptomatic support and hyperbaric oxygen.The control group was treated with routine knowledge education such as disease-related knowledge,while the intervention group was given disease cognition intervention based on the control group.Both groups were followed up for 3 months after discharge.The treatment compliance,the cognitive rate of disease knowledge,the estimated times of hyperbaric oxygen treatment and the clinical therapeutic effect between the two groups were compared.After 3 months of follow-up,the incidence of delayed encephalopathy after CO poisoning was compared between the two groups.Results The treatment compliance rate of the intervention group was 92.50%,which was higher than 75.00%of the control group(P<0.05).The cognitive rate of disease knowledge in intervention group was 92.50%,which was higher than 52.50%in control group(P<0.05).The estimated frequency of hyperbaric oxygen treatment in the intervention group was 87.50%,which was higher than 47.50%in the control group(P<0.05).The clinical therapeutic effect of the intervention group was 100.00%,which was higher than82.50%of the control group(P<0.05).After 3 months′follow-up,there was no case with delayed encephalopathy caused by CO poisoning in the intervention group and but 1 case in the control group,with no significant difference(P>0.05).Conclusion Cognitive intervention can correct the cognitive bias of ACOP patients,actively cooperate with medical staff to adhere to the course of treatment,improve patients′treatment compliance and clinical therapeutic effect,and play an important indirect role in reducing complications.

关 键 词：急性一氧化碳中毒 认知干预 治疗依从性 临床治疗效果 

分 类 号：R595.1[医药卫生—内科学]