聚焦解决模式护理对颅脑肿瘤术后认知及情绪的影响  

Effect of focused solution model nursing on postoperative cognition and emotion in patients with brain tumor

作　　者：周卫萍[1] 张英 李艳贞[2] 李琛琛 ZHOU Weiping;ZHANG Ying;LI Yanzhen(The neurosurgery intensive ward of Xinhua Hospital afiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院神经外科重病房,上海200092 [2]上海交通大学医学院附属新华医院神经外科一病区

出　　处：《国际精神病学杂志》2024年第1期322-324,共3页Journal Of International Psychiatry

基　　金：上海市科技人才计划项目(编号:19YF1432800)。

摘　　要：目的 探讨聚焦解决模式护理对颅脑肿瘤术后认知及情绪的影响。方法 本研究选择2021年1月~2022年1月104例颅脑肿瘤患者,简单随机法分为两组,对照组采用常规护理,观察组在对照组基础上联合针对认知及情绪的聚焦解决模式护理干预。比较干预前后蒙特利尔认知量表(MoCA)、汉密尔顿抑郁、焦虑量表[(HAMD)、(HAMA)]评分。结果 两组干预后MoCA量表各项评分及总分均升高,且干预后观察组MoCA量表各项评分及总分均显著高于对照组(P<0.05);两组干预后HAMD评分、HAMA评分均显著下降,且干预后观察组各项评分均显著低于对照组(P<0.05)。结论 针对认知及情绪的聚焦解决模式护理干预能够显著提升颅脑肿瘤术后认知功能,降低焦虑抑郁情绪。Objective To explore the influence of focused solution mode nursing on cognition and emotion after craniocerebral tumor surgery.Methods A total of 104 patients with brain tumors from January 2021 to January 2022 were selected as the study subjects,and they were randomly divided into two groups.The control group received routine nursing care,while the observation group received a combination of cognitive and emotional focused problem-solving nursing interventions on the basis of the control group.The Montreal Cognitive Scale(MoCA),Hamilton Depression and Anxiety Scale(HAMD),and HAMA before and after intervention were compared.Results After intervention,the scores and total scores of the MoCA scale in both groups were significantly increased,and the scores and total scores of the MoCA scale in the observation group were significantly higher than those in the control group(P<0.05).After intervention,the HAMD score and HAMA score of both groups significantly decreased,and the observation group had significantly lower scores than the control group(P<0.05).Conclusion Focused solution mode nursing intervention for cognition and emotion can significantly improve cognitive function after brain tumor surgery and reduce anxiety and depression.

关 键 词：聚焦解决模式 颅脑肿瘤 认知 情绪 

分 类 号：R749[医药卫生—神经病学与精神病学]