预见性护理在重型颅脑损伤患者中的应用价值及对急性期并发症的影响研究

Application Value of Predictive Nursing in Patients with Severe Craniocerebral Injury and its Influence on Acute Phase Complication

目的研究预见性护理在重型颅脑损伤患者中的应用价值及对急性期并发症的影响。方法将84例重型颅脑损伤患者随机分为实验组(n=42)与对照组(n=42),观察两组急性期各并发症发病率、死亡率以及患者满意度。结果实验组发生各并发症患者比例为40.48%,显著低于对照组的92.86%(P<0.05);实验组患者抑郁、焦虑自评分均低于对照组(P<0.05);实验组死亡率低于对照组(P<0.05);护理满意度高于对照组(P<0.05)。结论预见性护理能有效减少重度颅脑损伤急性期并发症,缓解患者抑郁、焦虑负面情绪,降低死亡率,提高患者满意度,值得临床推广。

Objective To investigate the application value of predictive nursing in patients with severe craniocerebral injury and its influence on acute phase complication.Methods 84 cases withsevere craniocerebral injury were selected and divided into the observation group（given predictive nursing＋routine nursing,n=42）and the control group（given routine nursing,n=42）,acute phase complication rate（pressure sore,stress ulcer,respiratory infection,constipation）,death rate,satisfaction degree of the two groups were compared.Results In the observation group,patients with complications account for 40.48%,obviously lower than the control group（92.86%）（P〈0. 05）;depression,anxiety scores of the observation group were all lower than the control group（P〈0. 05）;death rate of the observation group was lower than the control group（P〈0. 05）;nursing satisfaction degree was higher than the control group（P〈0. 05）.Conclusion Predictive nursing can effectively lower acute phase complications,relieve negative emotions like depression,anxiety,improve satisfaction degree of patients and is worthy of clinic application.