摘要
目的观察细节护理干预在重型颅脑损伤患者护理中的应用。方法64例重型颅脑损伤患者随机分为对照组和观察组,每组32例。对照组给予常规护理干预,观察组给予细节护理干预。观察2组护理效果、神经功能缺损程度、昏迷程度、肢体运动功能、营养指标、焦虑、抑郁程度、日常生活能力及护理满意度。结果观察组护理有效率、护理满意度与对照组比较均明显提高(P<0.05)。干预前2组NIHSS评分、GCS评分、FMA评分、白蛋白、总蛋白、MNA评分、SAS评分、SDS评分、BI评分比较差异无统计学意义(P>0.05);干预后2组NIHSS评分、SAS评分、SDS评分与干预前比较均明显降低,GCS评分、FMA评分、白蛋白、总蛋白、MNA评分、BI评分与干预前比较均明显提高(P<0.05),且观察组变化更明显(P<0.05)。结论对重型颅脑损伤患者实施细节护理干预可明显改善患者神经功能、肢体运动功能,提高患者日常生活能力,缓解其负面情绪,值得临床推广。
Objective To investigate the application of detailed nursing intervention in the nursing of patients with severe craniocerebral injury.Methods A total of 64 patients with severe craniocerebral injury who were treated in our hospital from Sep 2017 to Sep 2020 were enrolled in the study,who were divided into the observation group and control group,with 32 cases in each group.The patients in control group were treated by routine care interventions,however,those in observation group were treated by detailed nursing intervention.The nursing effects,neurologic function,coma degree,locomotor function,nutritional condition,mental state,daily life ability and the nursing satisfaction degree were observed and compared between the two groups.Results Compared with those in control group,the nursing effective rate and nursing satisfaction degree in observation group were significantly increased(P<0.05).Before nursing,there were no significant differences in NIHSS scores,GCS scores,FMA scores,albumin,total protein,MNA scores,SAS scores,SDS scores,BI scores between the two groups(P>0.05).After nursing intervention,the NIHSS scores,SAS scores and SDS scores in both groups were significantly decreased,however,the GCS scores,FMA scores,albumin,total protein,MNA scores and BI scores were significantly increased(P<0.05),moreover,the changes of above indexes in observation group were more significant than those in control group(P<0.05).Conclusion The application of detailed nursing intervention in the nursing of patients with severe craniocerebral injury can effectively promote the recovery of neurological function,limb movement and daily life ability,improve the negative emotion,thus,it is worthy of clinical promotion.
作者
王晓媛
WANG Xiaoyuan(Depatment of Critical Care,The First Hospital Affiliated to Hebei North College,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2021年第16期2544-2546,2550,共4页
Hebei Medical Journal
关键词
预见性护理干预
颅脑损伤
应用
detailed nursing
craniocerebral injury
application
