呼唤式护理干预在重型颅脑损伤昏迷患者中的应用

Application of Call-type Nursing Intervention in Coma Patients with Severe Head Injury

目的探究临床重型颅脑损伤昏迷患者的护理过程中,应用呼唤式护理干预对患者的护理影响,为临床颅脑损伤的护理奠定基础。方法自该院2014年6月—2015年12月期间收治的128例重型颅脑损伤昏迷患者,随机数字表法分为试验组和对照组,分别64例患者,实施不同护理方案。观察临床护理效果。结果实验组患者护理后AS、BI、FM、ADL分别为:(17.22±0.60)分、(67.6±1.33)分、(79.29±1.76)分、(76.2±1.3)分,具明显优于对照组数据(P<0.05)。试验组护理后6周GCS评为(9.5±2.2)分,明显高于对照组(7.9±2.5)分。试验组患者生活质量改善情况显著优于对照组(P<0.05)。结论临床护理重型颅脑损伤昏迷患者的过程中,呼唤式护理干预有利于唤醒患者,促进神经功能及日常生活能力的提升,改善患者的生活质量,应广泛推广。

Objective To study the effect of calltype nursing intervention on nursing of patients with severe head injury thus laying foundation for the clinical nursing of head injury. Methods 128 cases of coma patients with severe head injury admitted and treated in our hospital from June 2014 to December 2015 were selected and randomly divided into two groups with 64 cases in each, both groups adopted the different nursing plans, and the clinical nursing effect was observed. Results The AS, BI, FM, ADL after nursing in the experimental group were respectively（17.22±0.60） points,（67.6±1.33）points,（79.29±1.76）poi.nts,（76.2±1.3）points, which were obviously better than those in the control group, after 6week nursing, the GCS score in the test group was obviously higher than that in the control group [（9.5±2.2）points vs （7.9±2.5）points], and the quality of life improvement in the test group was obviously better than that in the control group（P〈0.05）. Conclusion The calltype nursing intervention in clinical nursing of coma patients with severe head injury is conducive to awaking patients, promoting the improvement of nerve function and activity of daily living and improving the quality of life of patients, and it should be widely promoted.