急诊颅脑创伤患者救治中预见性护理的应用分析

Application of predictive nursing care in rescue for patients with craniocerebral trauma at emergency room

目的探讨预见性护理在急诊颅脑创伤患者救治中的应用效果。方法将2015年10月至2016年8月入院的80例急诊颅脑创伤患者随机分为两组，对照组患者给予传统护理，实验组患者则加施预见性护理，比较两组患者护理模式临床辅助抢救效果、临床参数、并发症、临床事件发生率与家属护理满意度。结果实验组患者治疗后GCS评分为（10．82±1．44）分，显著高于对照组的（8．35±1．76）分，NEWS评分为（7．05±1．01）分，显著低于对照组的（8．37±0．84）分；检查耗费时间为（17．02±6．49）min、急诊科人室时间为（7．25±3．16）min、住院时间为（15．06±6．61）d、总体临床事件发生率为5．00％，均显著低于对照组的（24．36±7．79）min、（12．89±5．37）min、（24．74±7．16）d、35．00％，差异均有统计学意义（均P〈0．01）；总体并发症发生率（5．00％）明显低于对照组（22．50％）；家属总体护理满意度明显优于对照组，差异有统计学意义（P〈0．05）。结论预见性护理在急诊颅脑创伤患者救治中的应用效果显著，可提高满意度，具有借鉴意义。

Objective To explore the effect of predictive nursing on patients with traumatic brain injury. Methods 80 patients with acute traumatic brain injury admitted into our hospital from October, 2015 to August, 2016 were randomly divided into a control group and an experimental group. The control group were given traditional nursing care and the experimental group predictive nursing care. The clinical assistant rescue effect, clinical parameters, complications, incidence of clinical events, and family nursing satisfaction were compared between these two groups. Results After treatment, the scores of GCS and NEWS, examination time, time for the admission into emergency room, hospital stay, and total incidences of clinical events and complications were （10.82±1.44） , （ 7.05±1.01 ） , （ 17.02±6.49 ） min, （ 7.25±3.16 ） min, （ 15.06±6.61 ） d, 5.00%, and 5.00% in the experimental group and were （ 8.35±1.76 ）, （ 8.37±0.84 ）, （ 24.36±7.79 ） min, （ 12.89±5.37 ） min, （ 24.74±7.16 ） d, 35.00%, and 22.50% in the control group, with statistical differences （ P 〈 0.05 ） . The overall nursing satisfaction of the family was significantly better in the experimental group than in the control group, with a statistical difference （P 〈 0.05）. Conclusions The application of predictive nursing in the treatment of patients with traumatic brain injury is significantly effective and can improve the satisfaction and have reference significance.