细节化护理干预在颅脑损伤患者中的应用

Application of detailed nursing intervention for patients with craniocerebral injury

  • 摘要:
      目的  分析颅脑损伤患者细节化护理干预的效果。
      方法  选取本院接受治疗的颅脑损伤患者148例,按照随机抽样法分为试验组(n=74)和参照组(n=74), 参照组患者采用常规护理干预,包括生命体征监测、口腔护理等,试验组患者给予细节化护理干预。对比2组患者并发症情况、护理前后格拉斯哥昏迷指数(GCS)评分、日常生活能力量表(ADL)评分以及护理满意度。
      结果  试验组患者肺部感染、泌尿系统感染、压疮、消化道溃疡以及颅内血肿等并发症发生率均低于参照组(P < 0.05)。护理前, 2组患者GCS评分及ADL评分差异无统计学意义(P>0.05); 护理干预后, 2组GCS评分均低于护理前, ADL评分高于护理前(P < 0.05); 护理后,试验组患者GCS评分显著低于参照组, ADL评分显著高于参照组(P < 0.05)。试验组患者对护理服务总满意度为95.95%, 显著高于参照组的85.14%, 差异有统计学意义(P < 0.05)。
      结论  细节护理干预有助于帮助颅脑损伤患者顺利度过危险期,改善生存质量。

     

    Abstract:
      Objective  To analyze the effect of detailed nursing intervention for patients with craniocerebral injury.
      Methods  A total of 148 patients with craniocerebral injury treated in our hospital were randomly divided into experimental group(n=74) and reference group (n=74). The reference group was given routine nursing intervention, including vital signs monitoring, oral nursing. At the same time, detailed nursing intervention was given to the experimental group. Incidence of complications and Glasgow Coma Scale (GCS) scores before and after nursing, Activity of Daily Life (ADL) scores nursing satisfaction of two groups were compared.
      Results  The incidence of complications such as pulmonary infection, urinary system infection, pressure sores, gastrointestinal ulcer and intracranial hematoma in the experimental group was lower than that in the control group(P < 0.05). There were no significant differences in GCS scores and ADL scores between the two groups before nursing (P>0.05), whereas GCS score after nursing intervention was lower, and the ADL scores was higher than nursing before(P < 0.05), the GCS score of the experimental group after nursing was lower than that of the reference group, and the ADL score was higher than that of the reference group. There was significant differences in GCS score and ADL score between the two groups after nursing (P < 0.05). The total nursing satisfaction of the experimental group was 95.95%, which was higher than 85.14% of the reference group(P < 0.05).
      Conclusion  Detailed nursing intervention for patients with craniocerebral injury can help them survive in the dangerous period and improve their quality of life.

     

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