观察联合过渡期护理模式在中重度颅脑损伤患者中的应用效果

Application of the common complications observed joint transitional care model in severe brain injury patients

目的分析对中重度颅脑损伤患者实行观察联合过渡期护理模式(transitional care model,TCN)的应用效果。方法选取2015年4月至2016年4月本院收治的90例中重度颅脑损伤患者,采用随机数字表法分为A组和B组,每组45例。A组采用观察联合TCN,B组采用常规护理,比较两组并发症的发生情况及护理前后焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分的变化。结果护理前两组SAS、SDS评分比较差异无显著性(P>0.05)。护理后两组SAS、SDS评分均明显降低,且A组明显低于B组,差异均有显著性(P<0.05)。A组并发症总发生率(6.67%)明显低于B组(24.44%),差异有显著性(P<0.05)。结论对中重度颅脑损伤患者实行观察联合TCN,可有效改善焦虑及抑郁情况,降低并发症发生率,值得临床推广。

Objective To explore the clinical effects of implement joint observation transitional care model（TCN） on patients with moderate to severe traumatic brain injury. Method Ninety cases of moderate to severe traumatic brain injury in our hospital as the research object, through digital randomly divided into A, group B, 45 cases in each. A joint observation group to implement TCN, the implementation of routine care group B, comparative analysis of the two groups before and after the treatment of depression, anxiety and the incidence of adverse psychological and complications. Result Before treatment, two SAS, SDS scores between groups contrast, no significant difference（P〉0.05）. After Care A group SAS, SDS score lower than before treatment and group B; overall incidence of complications（6.67%） than in group B（24.44%）, the difference was significant（P〈0.05）. Conclusion Observe joint TCN, which can effectively improve patient anxiety and depression, the patient reduce the incidence of complications, worthy of moderate to severe traumatic brain injury patients.