创伤性颈脊髓损伤围手术护理质量指标的临床应用

Clinical Application of Nursing Quality Index in Perioperation Nursing for Traumatic Spinal Cord Injury

目的探讨创伤性颈脊髓损伤围手术专病护理质量评价指标的临床应用。方法将创伤严重度评分(in-jury severity socre,ISS)≥10的136例颈脊髓损伤病人随机分为两组,在围手术期分别采用常规护理质量指标和专病护理质量指标控制护理质量,观察两组病例ISS、护士及时发现病情变化数、并发症发生数、早期功能锻炼时间、抢救天数、住院天数、死亡例数,同时观察两组病例特殊临床表现。结果两组在护士及时发现病情变化数、并发症发生数、早期功能锻炼时间、抢救天数、住院天数之间的比较均有统计学差异(P<0.05)。结论在创伤性颈脊髓损伤围手术期应用专病护理质量指标控制护理质量,对病员早期康复有重要作用,能提高抢救成功率,缩短住院时间,减轻病人经济负担,提升专科护理水平。

Objective To investigate the clinical application of perioperation nursing quality index for traumatic and spinal cord injury.Methods A total of 136 patients with cervical spinal cord injury and injury severity score（ISS） above 10 were randomly divided into two group.Usual index of nursing quality and special index of nursing quality were adopt respectively in the two groups.The ISS scores,number of cases whose disease changes were found by nurses in time,number of cases of complications,early exercise time,rescue days,hospitalization days,number of dead cases,and special clinical manifestations were observed.Results Significant differences were found in number of cases whose disease changes were found by nurses in time,number of cases of complications,early exercise time,rescue days and hospitalization days between two groups（P0.05）.Conclusion The special index of perioperation nursing quality used for traumatic and spinal cord injury is crutial in early rehabilitation of the patients,can enhance the success rate of rescue,shorten the hospitalization stay,reduce the financial burden of the patients,and raise the level of special nursing.