摘要
目的探讨过渡期护理模式(TCM)在重度颅脑损伤患者过渡阶段的护理效果及护理满意度的影响。方法选择2017年1月～2018年6月在我院ICU治疗的120例重度颅脑损伤患者,后均转入神经外科普通病房进行治疗,将所有患者随机分为对照组和观察组,每组60例。对照组患者在过渡期给予常规护理,观察组患者采用过渡期护理模式,观察两组患者在过渡期不良事件发生率、重返ICU率、焦虑评分(SAS)、抑郁评分(SDS)、住院时间以及患者的格拉斯预后(GOS)优良率、MMSE评分、NFD评分及护理满意度。结果观察组患者的不良事件发生率、重返ICU率、SAS评分、SDS评分、NFD评分均明显低于对照组(P <0.05),观察组患者的住院时间明显少于对照组(P <0.05);但观察组患者GOS评分优良率、MMSE评分及护理满意度均明显高于对照组(P <0.05)。结论重度颅脑损伤患者在过渡期采用TCM护理干预,能够有效降低患者的不良事件发生率,改善患者不良情绪,促进患者认知功能恢复,减轻神经功能缺损,促进患者更快康复出院,提高患者及家属的护理满意度。
Objective To explore the effect of nursing effect and nursing satisfaction of transitional care model(TCM)in transitional care of patients with severe craniocerebral injury in intensive care unit. Methods One hundred and twenty patients with severe craniocerebral injury who were treated in ICU of our hospital from January 2017 to June 2018 were selected and all were transferred to the general neurosurgery ward for treatment.All the patients were randomly divided into the control group and the observation group,with 60 patients in each group.Patients in the control group were given conventional care in the transitional period while patients in the observation group were given transitional care.The incidence of adverse events in the transitional period,rate of return to ICU,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,hospital stay,the excellent and good rate of GOS,MMSE score,NFD score and nursing satisfaction of patients in the two groups were observed. Results The incidence of adverse events,rate of return to ICU,SAS score,SDS score,and NFD score in the observation group were significantly lower than in the control group(P < 0.05).The hospital stay of the observation group was significantly shorter than that of the control group(P < 0.05).However,the excellent and good rate of GOS,MMSE score and nursing satisfaction of the observation group were significantly higher than those of the control group(P < 0.05). Conclusion TCM nursing intervention in transitional care of patients with severe craniocerebral injury can effectively reduce the incidence of adverse events,improve the patients’ bad mood,promote the recovery of cognitive function,alleviate the neurological deficit,promote the patients to recover faster and discharg from hospital and improve the nursing satisfaction of patients and family members.
作者
王超
WANG Chao(Intensive Care Unit,the First Affiliated Hospital to Bengbu Medical College,Bengbu 233000,China)
出处
《中国医药科学》
2019年第7期93-96,121,共5页
China Medicine And Pharmacy
关键词
过渡期护理模式
重度颅脑损伤
重症监护室
不良事件发生率
Transitional care model
Severe craniocerebral injury
Intensive care unit
Incidence of adverse events
