循证护理对重型颅脑损伤患者的促醒作用及预后影响

The influence of evidence-based nursing on awaking and prognosis for severe craniocerebral injury patients

目的:探讨循证护理在重型颅脑损伤患者中的作用。方法:选取60例重型颅脑损伤患者进行前瞻性研究,随机分为观察组和对照组,其中对照组给予常规护理,观察组给予常规护理联合循证护理,观察患者清醒时间、Karnofsky预后评分、出院时日常生活能力和护理满意度,比较两组护理方法的差异。结果:观察组的清醒时间快于对照组,治疗结束时Karnofsky预后评分高于对照组,出院时日常生活能力评分高于对照组,护理满意度显著高于对照组,差异均有统计学意义(P<0.05)。结论:循证护理能促进重型颅脑损伤患者早日清醒,改善预后,提高生活质量。

Objective To explore the application effect of evidence - based nursing on severe craniocerebral injury pa tients. Method 60 severe craniocerebral injury patients were randomly divided into the observation group and the control group. Patients in the control group were treated with routine nursing path, and the observation group was received evidence - based nursing based on the control group. The awake time, Karnofsky score, Barthel score and nursing satisfaction were evaluated and compared between the two groups. Results The awake time of the observation group was significantly faster than the control group, Karnofsky score, Barthel score and nursing satisfaction of the observation group was significantly higher than the control group （P 〈 0. 05）. Conclusion Evidence - based nursing can promote severe craniocerebral injury patients awaking and improve the prognosis and life quality.