CAJ | 학술논문

目的：探讨临床护理路径（CNP）对颅内动脉瘤弹簧圈栓塞术患者认知功能和生活质量的影响。方法：将50例颅内动脉瘤患者按照随机数字表法分为观察组和对照组各25例，两组均在全身麻醉下行颅内动脉瘤弹簧圈栓塞术，对照组采取常规护理措施，观察组实施 CNP 护理。比较两组术后1周和1个月日常生活能力量表（ADL 量表）、简易精神状态检查表（MMES）和洛文斯顿认知功能评定测验（LOTCA）评分的差值变化，比较两组患者术后1个月生活质量（SF -36量表）评分情况。结果：观察组ADL、MMES 和 LOTCA 评分差值明显大于对照组（P ＜0.05），观察组 SF -36量表的生理功能、躯体疾病、生理职能、精力、一般情况、精神健康、社会功能、情感功能评分显著高于对照组（P ＜0.05）。结论：CNP 可明显改善颅内动脉瘤弹簧圈栓塞术患者的认知功能，提高生活质量。
목적：탐토림상호리로경（CNP）대로내동맥류탄황권전새술환자인지공능화생활질량적영향。방법：장50례로내동맥류환자안조수궤수자표법분위관찰조화대조조각25례，량조균재전신마취하행로내동맥류탄황권전새술，대조조채취상규호리조시，관찰조실시 CNP 호리。비교량조술후1주화1개월일상생활능역량표（ADL 량표）、간역정신상태검사표（MMES）화락문사돈인지공능평정측험（LOTCA）평분적차치변화，비교량조환자술후1개월생활질량（SF -36량표）평분정황。결과：관찰조ADL、MMES 화 LOTCA 평분차치명현대우대조조（P ＜0.05），관찰조 SF -36량표적생리공능、구체질병、생리직능、정력、일반정황、정신건강、사회공능、정감공능평분현저고우대조조（P ＜0.05）。결론：CNP 가명현개선로내동맥류탄황권전새술환자적인지공능，제고생활질량。
Objective:To investigate the effect of clinical nursing pathway(CNP)on the cognitive function and quality of life of patients with intracranial aneurysm treated with coil embolization. Methods:50 patients with intracranial aneurysms were randomly divided into the observation group and the control group(25 cases in each group). The patients in both groups were treated with coil embolization under general anesthesia. The routine nursing care was taken in the control group and CNP was implemented in the observation group. The differ-ences of the scores of ADL,MMES and LOTCA were compared between the two groups in one week and one month after operation. The scores of SF - 36 were compared between the two groups in month after operation. Results:The differences of the scores of ADL,MMES and LOTCA were bigger in the observation group than those in the control group(P < 0. 05);the scores of SF - 36 were significantly higher in the observation group than the control group(P < 0. 05). Conclusion:Implementation of CNP can significantly improve the cognitive func-tion and quality of life of the patients in the treatment of intracranial aneurysms with coil embolization.