CAJ | 학술논문

目的探讨脊柱外科患者术后认知功能障碍(POCD)的护理方法.方法对19例脊柱外科手术后出现认知障碍的患者进行严密观察、认知行为干预,做好安全护理、睡眠护理及舒适护理等.结果对患者行针对性治疗和护理,精神症状持续3～10 d后逐渐缓解.出院后15例患者得到随访,发现术后认知功能障碍患者在出院后其精神症状逐渐消失,可以恢复到术前的精神状态.结论脊柱外科患者术后认知功能障碍多发生于老年患者,通过细心观察和积极的护理干预可有效减轻POCD患者的认知损害,促进其认知功能恢复.
목적 탐토척주외과환자술후인지공능장애(POCD)적호리방법.방법 대19례척주외과수술후출현인지장애적환자진행엄밀관찰、인지행위간예,주호안전호리、수면호리급서괄호리등.결과 대환자행침대성치료화호리,정신증상지속3～10 d후축점완해.출원후15례환자득도수방,발현술후인지공능장애환자재출원후기정신증상축점소실,가이회복도술전적정신상태.결론 척주외과환자술후인지공능장애다발생우노년환자,통과세심관찰화적겁적호리간예가유효감경POCD환자적인지손해,촉진기인지공능회복.
Objective To investigate the nursing method to spine surgery inpatients suffering postoperative cognitive dysfunction. Methods Nineteen spine surgical patients who had postoperative cognitive dysfunction were closely observed , and special nursing measures such as cognitive behavioral intervention, save care, sleep care and comfort care were taken. Results Patients' mental symptoms lasting 3 ～ 10 days lessened gradually after receiving specific treatment and nursing. 15 Discharged Patients were followed up. Their cognitive dysfunction could improve gradually and could be recovered at last. Conclusions Postoperative cognitive dysfunction after Spine surgery can be found more easily in old patients. Careful observation and active nursing intervention can reduce the cognitive damage of POCD patients and promote their recovery effectively.