临床优质护理在重型颅脑损伤患者中的应用及效果观察

The effect and the application of clinical quality nurse care in patients with severe traumatic brain Injury

目的探讨临床优质护理服务对重型颅脑损伤患者的效果。方法 82例重型颅脑损伤患者,随机分为护理组(41例)与对照组(41例),对照组给予常规重型颅脑外伤护理;护理组给予综合优质护理,包括密切观察患者的生命体征、保证患者呼吸道通畅、脑侧裂池引流管的护理、基础护理、营养支持、冬眠疗法、功能锻炼及心理及辅助治疗等。患者出院后3个月,采用GOS分级判定标准判断康复情况。结果护理组病死率(14.63%)显著低于对照组(43.90%),差异具有统计学意义(χ2=8.48,P<0.05)。护理组恢复情况(62.9%)显著优于对照组(26.1%),差异具有统计学意义(χ2=7.52,P<0.05);2组中度致残率与重度致残率比较,差异均无统计学意义(P>0.05)。结论临床综合优质护理服务可明显降低重型颅脑损伤患者的病死率,并能提高患者的恢复率,值得临床推广应用。

Objective To study the effects of clinical quality nurse care in patients with severe traumatic brain inju-ry.Methods 82 patients with severe traumatic brain injury were randomly divided into care group （n=41） and control group （n=41） ,the control group received conventional care of severe head trauma ;care group received comprehensive quality care ,in-cluding closely observing the patient＇s vital signs ,ensuring patients airway to be unobstructed ,brain sylvian cistern drainage tube care ,basic care ,nutritional support ,hibernation therapy ,functional training and psychological and adjuvant therapy.3 months after hospital discharge ,the GOS grading criteria was used to judge the rehabilitation of patients.Results At the end of treat-ment ,the mortality of care group（14.63% ） was significantly lower than that of the control group （43.90% ） ,and the difference was statistically significant （χ2 =8.48 ,P0.05）.Conclusion The clinical comprehensive quality care can significantly reduce mortality of patients with severe traumatic brain in-jury ,and improve the patient＇s recovery rate ,and is worthy of clinical application.