摘要
摘要 目的：本文探究对症护理联合饮食护理对以精神障碍为首发症状的病毒性脑炎患者的效果分析。方法：将2009年5月至2015年5月我院初诊为的伴有精神障碍的病毒性脑炎患者46例随机分为对照组和观察组，每组各23例。对照组患者开展临床常规护理，观察组在常规护理基础上介入对症护理及饮食护理干预。观察比较干预后两组的效果，结果：治疗处理前，两组患者的一般情况无显著差异（P>0.05）。经护理干预后，对两组患者的精神症状及生命体征的缓解和恢复情况，疗程结束后两组的临床效果进行判定。患者的精神症状均有所缓解，观察组明显优于同期对照组（P<0.05）；观察组患者的治愈率及治疗的总有效率均明显高于同期对照组，且组间对比差异具有统计学意义（P<0.05）；观察组患者的治疗满意度分数为83.27±6.40分，远高于对照组患者的64.36±12.20分，且差异具有统计学意义（P<0.05）；观察组患者的平均住院时间及平均住院费用均显著低于同期的对照组，且数据对比差异显著（P<0.05）。结论：对症护理联合饮食护理对以精神障碍为首发症状的病毒性脑炎患者具有良好的临床效果，其不仅改善了患者由精神障碍引发的系列症状，还提高了患者的总有效率，减少了患者的住院时间，值得在临床上广泛推广。
关键词： 关键词 对症护理；饮食护理；精神症状；病毒性脑炎
Abstract
Abstract Objective: To explore the effect of symptomatic and diet oriented nursing for the viral encephalitis patients with mental disorders as first symptoms. Methods: A total of 46 viral encephalitis patients with mental disorders as first symptoms in our hospital from May 2009 to May 2015 were selected as the clinical research objects. According to the nursing way, the patients were randomly divided into the control group and the observation group. Patients who were in the observation group were applied clinical normal nursing，while patients in the control group were adopted symptomatic and diet oriented nursing intervention on the basis of clinical normal nursing. To observe the clinical effects, the two groups of patients' mental symptoms and vital signs of relief and recovery after treatment were compared. Results: before treatment, there was no difference in the demographic information of the two groups (P>0.05). After the nursing intervention, we compared the two groups of patients' mental symptoms and vital signs of relief and recovery, and determined the clinical effect of two groups. We found that the patients' mental symptoms in the observation group were improved more than those in the control group, with statistically significant difference (P<0.05). The cure rate and total success rate of patients in the observation group were significantly higher than those of the observation group, with statistically significant difference (P<0.05). The average score of treatment satisfaction scale (TSS) was 83.27±6.40 in the observation group and was 64.36±12 in the control group, with statistically significant difference (P<0.05). Furthermore, the time and cost of hospitalization in the observation group were significantly lower than those of the control group, with statistically significant difference (P<0.05). Conclusion : The application of symptomatic and diet oriented nursing has effects in the viral encephalitis patients with mental disorders as first symptoms. It not only improves a series of symptoms caused by mental disorders, but also increases the total success rate and reduces the time of hospitalization, which can be worth to be widely applied clinically.
Key words： Key words symptomatic nursing; diet nursing; psychiatric symptoms; viral encephalitis
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