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Effect of Whole Course Pain Interventions on Postoperative Depression and Cognitive Dysfunction in Elderly Patients with Gastrointestinal Tumor

Author: AoQinYing
Tutor: TangSiYuan
School: Central South University
Course: Nursing
Keywords: Painless intervention Elderly Postoperative depression Postoperative cognitive dysfunction
CLC: R473.73
Type: Master's thesis
Year: 2010
Downloads: 58
Quote: 0
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Abstract


Objective: To investigate the to gastrointestinal cancer cure relationship between postoperative depression and postoperative cognitive dysfunction study full painless intervention senile gastrointestinal tumor patients with depression and cognitive function. Methods: simple random sampling method, the MMSE scale screening more than 24 points, and depression scores lt; 50 points, and the ages of 60-79 years of age undergoing elective gastrointestinal gastrointestinal cancer radical mastectomy, 150 patients were randomly divided into no the pain intervention group (P group, n = 77) and control group (C group, n = 73). P group of patients with routine care throughout painless intervention during hospitalization C group were given routine care measures. Record of two groups of patients before and after 7 days, 14 days of depression and self-assessment score, postoperative 1h, 6h, 12h, 24h, 48h and 72h visual analogue scale (VAS score) after elderly cognitive function scales score, postoperative analgesic dosage, for the first time to get out of bed activity time as well as the number of days of hospitalization. : 1.VAS Rating: C group patients except 1h and 72h, at each time point VAS score higher than the P group, and the difference was statistically significant (P lt; 0.05). 2. Postoperative analgesic dosage and postoperative recovery: C patients with postoperative analgesic dosage higher than the P group, and the difference was statistically significant (P lt; 0.05). Hospitalization time the head of the C P group, and the difference was statistically significant (P lt; 0.05). Depression score: preoperative self-Depression Rating score less than 50, and the difference was not statistically significant. Postoperative 7d and 14d score their preoperative comparison were increased, and the difference was statistically significant (P lt; 0.05). 7d and 14d of Group C after surgery depression self-assessment scores were higher than the P group at the same time point score, and the difference was statistically significant (P lt; 0.05). Cognitive function score: C group of patients with cognitive function scale score in addition to the \significance (P lt; 0.001). 5 postoperative 7d Self-Rating Depression Scale score with two sets of SECF Scale score correlation analysis, drawn in group C correlation coefficient r = -0.315, P group correlation coefficient r-0.369, suggesting that both the presence correlation. Conclusion: The low degree of positive linear correlation between postoperative depression and postoperative cognitive dysfunction (Postoperative Cognitive Dysfunction, POCD). 2 Perioperative full painless intervention can reduce in elderly patients with gastrointestinal cancer postoperative pain, reduce the amount of postoperative analgesic, improved postoperative recovery. 3 Perioperative full painless intervention can reduce the incidence of senile gastrointestinal tumor patients with depression and POCD.

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