护理干预对颅脑损伤手术患者的影响

Effect of Nursing Intervention on Patients with Craniocerebral Trauma Surgery

目的 探讨护理干预在颅脑损伤手术患者中的治疗效果. 方法 整群选取该院神经外科2012年7月—2014年12月收治的124例颅脑损伤手术患者的临床资料,按照数字随机法分为护理组与对照组各62例,对照组进行予常规临床治疗及护理, 护理组在此基础上加强护理干预措施, 比较2组的治疗效果. 结果 对照组治疗总有效率74.19%, 护理组治疗总有效率91.94, 护理组治疗总有效率明显高于对照组, 治疗效果2组比较差异有统计学意义（Z=-2.250,P〈0.05）;对照组发生感染13例,感染发生率20.97%,护理组发生感染5例,感染发生率8.06%,,护理组感染发生率明显少于对照组感染发生率2组比较差异有统计学意义（χ2=4.744,P〈0.05）;对照组发生压疮5例,压疮发生率8.06%,护理组发生压疮1例,压疮发生率8.06,护理组压疮发生率明显低于对照组,压疮发生率2组比较差异无统计学意义（χ2=2.802,P〉0.05）;2组患者在治疗效果、感染率、压疮发生率比较差异显著,护理组患者的效果显著优于对照组患者. 结论 在颅脑损伤手术患者临床护理中,应从以下方面加强：第一时间掌握病情、专科护理、静脉置管护理、并发症防控及处理、恢复性指导,均有助于患者的预后,降低其临床感染发生率,全面促进临床治疗效果.

Objective To study the therapeutic effect of nursing intervention on patients with craniocerebral trauma surgery. Methods The clinical data of 124 patients underwent craniocerebral trauma surgery in Department of Neurosurgery of our hospital from July 2012 to December 2014 were selected. The patients were divided into the nursing group and the control group with 62 cases in each in accordance with the random digital method. The control group were treated by the conven-tional clinical treatment and nursing, while the nursing group were treated by the strengthened nursing intervention com-bined with the conventional clinical treatment and nursing. And the nursing efficacy of the two groups was compared. Re-sults The total effective rate of the nursing group was much higher than that of the control group （91.94%vs 74.19%）, Z=-2.250, P〈0.05. 5 cases had infection in the nursing group, 13 cases had infection in the control group, the incidence of in-fection was much lower in the nursing group than that in the control group（8.06%vs 20.97%）, χ2=4.744, P〈0.05. 1 case had pressure ulcer in the nursing group, 5 cases had pressure ulcer in the control group, the incidence of pressure ulcer was much lower in the nursing group than that in the control group （8.06%vs 8.06%）, χ2=2.802, P〉0.05. The nursing group had much better nursing efficacy than the control group. Conclusion In the clinical nursing for patients with craniocerebral trauma surgery, strengthening the following aspects such as first time mastering the condition of illness, specific nursing, venipuncture care, prevention and control and treatment of complication, rehabilitation guidance, all contribute to the prog-nosis of patients, reduce the prevalence of clinical infection and comprehensively promote the clinical therapeutic effect.