无缝隙护理模式在神经外科患者术后躁动中的应用

Application of Seamless Nursing Mode in Postoperative Restlessness of Department of Neurosurgery Patients

目的:探讨无缝隙护理模式在神经外科患者术后躁动中的应用方法和效果。方法:将129例颅脑手术后患者随机分为观察组65例和对照组64例,对照组实施神经外科术后常规护理措施,观察组在常规护理基础上应用无缝隙护理模式,采用Ricker镇静-躁动评分法评定两组患者躁动情况,比较两组患者生命体征指标和不良事件发生率。结果:观察组患者躁动发生率低于对照组(P<0.05),舒张压、收缩压、呼吸、心率变化情况优于对照组(P<0.05),不良事件发生率低于对照组(P<0.05)。结论:无缝隙护理可缓解神经外科患者术后躁动,提高医护人员主动服务意识,有效避免不良事件的发生。

Objective： To explore the application and effect of seamless nursing mode in postoperative restlessness of Department of Neurosurgery patients. Methods： A total of 129 patients with craniocerebral surgery were randomly divided into observation group（65 cases） and control group（64 cases）. The control group received routine nursing measures after operation,and the observation group received the seamless nursing mode on the basis of routine nursing care. The restlessness of two groups was assessed by Ricker sedation agitation rating method,and the vital signs and adverse events were compared between two groups. Results： The incidence of restlessness in the observation group was significantly lower than that in the control group（P〈0. 05）. The changes of diastolic blood pressure,systolic pressure,respiratory rate and heart rate were significantly better than those in the control group（P〈0. 05）,and the incidence of adverse events was significantly lower than that of the control group（P〈0. 05）. Conclusion： Seamless nursing mode can relieve the postoperative restlessness of the department of neurosurgery patients,improve the initiative service consciousness of the medical staff and effectively avoid the occurrence of adverse events.