CAJ | 학술논문

目的：探究术前访视对四肢骨折患者术后认知障碍的影响。方法选取我院于2013－03～2014－03间收治的四肢骨折患者100例为研究对象。按照随机数字表法将100例患者分为实验组和对照组，随机数字为奇数者为实验组，偶数者为对照组，每组患者各50例。100例患者均给予常规护理及药物治疗，实验组患者另给予术前访视护理干预，使用简易精神状态检查法（ MMSE）和洛文斯顿作业治疗用认知成套测验（ LOTCA）进行神经心理测验，确认患者是否出现认知障碍并分析其认知障碍类型。结果术后3d对实验组及对照组患者使用MMSE和LOTCA进行神经心理测验，实验组出现认知障碍者占32.0％，而对照组中出现认知障碍者高达74.0％，此差异具有统计学意义（χ2＝17.70，P＜0.01）。结论对四肢骨折患者实行术前访视，能有效减少术后出现认知障碍的情况，帮助患者尽快恢复身心健康。
목적：탐구술전방시대사지골절환자술후인지장애적영향。방법선취아원우2013－03～2014－03간수치적사지골절환자100례위연구대상。안조수궤수자표법장100례환자분위실험조화대조조，수궤수자위기수자위실험조，우수자위대조조，매조환자각50례。100례환자균급여상규호리급약물치료，실험조환자령급여술전방시호리간예，사용간역정신상태검사법（ MMSE）화락문사돈작업치료용인지성투측험（ LOTCA）진행신경심리측험，학인환자시부출현인지장애병분석기인지장애류형。결과술후3d대실험조급대조조환자사용MMSE화LOTCA진행신경심리측험，실험조출현인지장애자점32.0％，이대조조중출현인지장애자고체74.0％，차차이구유통계학의의（χ2＝17.70，P＜0.01）。결론대사지골절환자실행술전방시，능유효감소술후출현인지장애적정황，방조환자진쾌회복신심건강。
Objective To study the effect of preoperative interview on the limbs cognitive impairment of patients with fracture .Meth-ods 100patientswereselectedastheresearchobjectsinourhospitalfrom2013MarchtoMarch2014werefracturesofextremities.Ac-cording to the random number table method , 100 patients were divided into experimental group and control group , the odd random number for the experimental group , even for the control group , 50 cases in each group of patients.100 patients were given routine care and drug therapy, the patients in the experimental group were additionally given preoperative interview nursing intervention , using the mini mental state examination ( MMSE) with cognitive test battery and Lo Winston occupational therapy ( LOTCA) for neuropsychological test , to con-firm whether the patient had developed cognitive impairment and analyze the cognitive impairment type .Results Postoperative 3D in the experimental group and control group patients were involved in MMSE and LOTCA neuropsychological test , the experimental group cognition disorders accounted for 32%, while the control group had developed cognitive impairment reached to 74%, with statistical significance of the difference (χ2 =17.70 , P<0.001 ).Conclusion Implementing preoperative visit on patients with fractures of the limbs could reduce cognitive impairment help the patients to restore health as soon as possible.