呼唤式护理指导对中重型颅脑损伤居家康复患者的影响

目的观察呼唤式护理指导对中重型颅脑损伤居家康复患者的影响。方法 2009年1月-2010年3月选择中重型颅脑损伤居家康复患者40例,随机分为实验组和对照组,每组各20例。对照组给予一般的社区卫生服务,实验组在此基础上实施呼唤式护理指导。比较两组患者指导后3个月、6个月的格拉斯哥昏迷评分(glasgow coma score,GCS)及日常生活能力评分(activities of daily living,ADL)。结果呼唤式护理指导后3个月,两组患者GCS及ADL评分比较,差异无统计学意义(均P>0.05);指导后6个月,实验组患者GCS及ADL评分高于对照组(均P<0.01)。结论呼唤式护理指导能促进居家康复患者意识恢复,减少致残率,提高其生活质量。

Objectives To investigate the effect of instruction on calling nursing on home-stay patients with severe traumatic brain injury. Methods 40 patients with severe traumatic brain injury （TBI） staying at home in the city of Zhanjiang during January 2009 to march 2010 were randomly divided into experiment group and control group in equal number. Those in the control group were given the general community health services, while instructions on calling nursing were implemented the experiment group besides the general community health. The two groups were compared in respect of the scores by activities of daily living （ADL） and the scores by Glasgow coma score （GCS） at months 3 and 6. Results There was no difference between them about the scores by GCS and ADL at month 3 （P 〉 0.05） and the scores by both GCS and ADL in the experiment group were significantly higher than those of control group at month 6 （P 〈 0.01 ）. Conclusion The instruction on calling nursing may promote the recovery of awareness in severe TBI patients, reduce the rate of disability, and improve their quality of life.