Evaluation of nursing interventions using minimally invasive assessments methods for patients in a persistent vegetative state
Evaluation of nursing interventions using minimally invasive assessments methods for patients in a persistent vegetative state
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采用微创评估方法对持续性植物人状态患者的护理干预进行评价
DOI：
10.1111/psyg.12265
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发表时间：
2017
期刊：
影响因子：
2
通讯作者：
Kawaguchi Takeshi
中科院分区：
文献类型：
--
作者：
Sato Mitsue;Sugimoto Masahiro;Yamaguchi Kazuo;Kawaguchi Takeshi
目的本研究旨在评估护理干预的影响，使用微创或非侵入性的方法，有利于频繁使用，以评估患者在持续植物状态（PVS.MethodsWe提供了三个护理干预-坐在病人在直立位置，足浴护理，对PVS患者（n= 11）和有意识的老年卧床患者（n= 6）进行3周的口腔护理。Kohnan评分，血浆皮质醇和肾上腺素水平，一般幸福感时间表评分，面部表情评估被用作evaluation methods.ResultsThe Kohnan评分PVS患者显着下降，表明干预措施增加了患者的意识水平，但没有其他参数显示出显着变化，在任何一组。Kohnan分数的变化显示依赖的趋势，在基线的面部表情，皮质醇的变化在干预过程中，和长期PVS.ConclusionsThe数据表明三个指标预测干预效果的个人和评估干预的贡献，生活质量的改善。在多种评价方法中，以科南评分法最为有效。最终，本研究中使用的三种护理干预措施和Konan评分优化了PVS患者的疗养院护理和康复。
AimThis study aimed to evaluate the effects of nursing interventions using minimally invasive or non‐invasive methods conducive to frequent use in order to assess patients in a persistent vegetative state (PVS).MethodsWe provided three nursing interventions—sitting the patient in an upright position, footbath care, and oral care—to PVS patients (n= 11) and elderly bedridden subjects with consciousness (n= 6) for 3 weeks in addition to ordinary nursing treatments. The Kohnan Score, plasma cortisol and adrenaline levels, General Well‐Being Schedule score, and facial expression assessments were used as evaluation methods.ResultsThe Kohnan Score of PVS patients declined significantly, indicating that the interventions increased patients’ consciousness levels, but none of the other parameters showed significant change in either group. The change in Kohnan Score showed dependent trends for facial expression at baseline, cortisol change during the intervention, and the term of PVS.ConclusionsThe data suggest three indices for predicting intervention efficacy in individuals and for assessing an intervention's contribution to quality of life improvement. Among the multiple evaluation methods, Konan Scores was the most effective. Ultimately, the three nursing interventions used in this study and Konan Score led to the optimization of nursing home care and rehabilitation for PVS patients.