早期护理干预对重型颅脑损伤患者综合功能及生存质量的影响

Effect of Early Nursing Intervention on Comprehensive Function and Quality of Life in Patients with Severe Head Injury

目的:探讨早期护理干预对重型颅脑损伤患者综合功能及生存质量的影响。方法:选取2013年10月-2017年10月期间在本院住院的重型颅脑损伤患者90例作为研究对象,按照随机数字表法将其分为试验组和对照组,各45例。对照组进行常规化护理,试验组在对照组的基础上开展早期护理干预。比较两组的护理服务满意度、平均住院时间、重型颅脑损伤知识掌握度、康复训练依从性,护理前后患者的综合功能及生存质量评分,以及后遗症发生情况。结果:试验组患者对护理服务满意度为100%,明显高于对照组的80.00%,差异有统计学意义(χ~2=10.000,P=0.002)。试验组平均住院时间、重型颅脑损伤知识掌握度和康复训练依从性评分均明显优于对照组,差异均有统计学意义(P<0.05)。护理前两组综合功能及生存质量评分比较,差异均无统计学意义(P>0.05);护理后,试验组综合功能及生存质量评分均明显优于对照组,差异均有统计学意义(P<0.05)。试验组后遗症发生情况明显低于对照组,差异有统计学意义(χ~2=5.074 8,P=0.024 3)。结论:早期护理干预在重型颅脑损伤患者护理中的应用效果确切,可提高患者重型颅脑损伤知识掌握度和康复训练依从性,改善神经、肢体等相关功能和生存质量,缩短住院时间,降低后遗症发生率,患者对护理服务满意度高。

To explore the effect of early nursing intervention on comprehensive function and quality of life in patients with severe head injury.Method:A total of90patients with severe head injury who were hospitalized in our hospital from October2013to October2017were selected as the study subjects.According to the random number table method,they were divided into experimental group and control group,45cases in each group.The control group was received routine nursing,the experimental group was carried out early nursing intervention on the basis of the control group.The satisfaction degree of nursing service,average hospitalization time,knowledge mastery of severe head injury,conformance of rehabilitation training,the scores of comprehensive function and quality of life of patients before and after nursing and the occurrence of sequelae between the two groups were compared.Result:The satisfaction degree of the patients in the experimental groupwas100%,which was significantly higher than80.00%in the control group,the difference was statistically significant(χ2=10.000,P=0.002).The average hospitalization time,the scores of knowledge mastery and rehabilitation training compliance in the experimental group were significantly better than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in comprehensive function and quality of life scores between the two groups before nursing(P>0.05);after nursing,the scores of comprehensive function and quality of life in the experimental group were significantly better than those in the control group,the difference was statistically significant(P<0.05).The incidence of sequelae in the experimental group was significantly lower than that in the control group,the difference was statistically significant(χ2=5.0748,P=0.0243).Conclusion:The application of early nursing intervention in the nursing of patients severe head injury is effective.It can improve the knowledge of patients with severe head injury and the compliance of rehabilitation training,improve the related functions of nerves and limbs and quality of life,shorten the hospitalization time,and reduce the incidence of sequelae.The degree of patient satisfaction with nursing service is high