优质护理在高压氧治疗重型颅脑外伤中的应用效果

high quality nursing care for severe craniocerebral trauma treated with hyperbaric oxygenation

目的分析优质护理在高压氧治疗重型颅脑外伤中的应用效果。方法 选取2016年1月至2018年1月在本院行高压氧治疗的78例重型颅脑外伤患者,采用抽签法随机将病患分为两组,各39例。对照组采用常规护理,包括监测神经系统病征、高压氧疗前宣教、行氧敏感试验等;研究组采用优质护理,包括心理干预、高压氧疗前宣教与护理干预,舱内护理指导与处理、出舱后监测等。比较两组患者干预后的SAS和SDS评分、SF-36评分、Fugl-Meyer法评分,以及不良反应情况。结果 干预后,研究组患者SAS、SDS评分分别为(26.56±3.82)分、(35.42±3.21)分,均低于对照组(31.27±3.42)分、(39.16±3.45)分,差异均有统计学意义(均P<0.05);干预后,研究组患者生活质量、Fugl-Meyer评分分别为(89.54±4.55)分、(85.43±3.34)分,均优于对照组(81.43±3.90)分、(81.17±3.65)分,差异均有统计学意义(均P<0.05);研究组不良事件发生率2.56%,低于对照组15.38%,差异有统计学意义(P<0.05)。结论重型颅脑外伤患者行高压氧治疗时辅之优质护理可缓解负面情绪,提高生活质量,促进运动功能恢复,减少不良事件,效果显著,值得临床推广应用。

Objective To analyze the effect of high quality nursing care for severe craniocerebral trauma treated with hyperbaric oxygen. Method 78 patients with severe craniocerebral trauma who underwent hyperbaric oxygen therapy at our hospital from January, 2016 to January, 2018 were randomly divided into a study group and a control group, 39 cases for each group. The control group were given routine care, including monitoring neurological symptoms, pre-hypertensive-oxygen education, oxygen sensitivity test. The study group were given high quality nursing care, including psychological intervention, pre-hypertensive-oxygen education and nursing intervention, in-cabin care guidance and treatment, and monitoring after getting out of the cabin. The SAS and SDS scores, SF-36 score, Fugl-Meyer score, and adverse reactions were compared between two groups. Results After the intervention, the scores of SAS and SDS were lower and the scores of quality of life and Fugl- Meyer were higher in the study group than in the control group [(26.56±3.82) vs.(31.27±3.42),(35.42±3.21) vs.(39.16±3.45),(89.54±4.55) vs.(81.43±3.90), and (85.43±3.34) vs.(81.17±3.65), all P < 0.05]. The incidence of adverse events was lower in the study group than in the control group (2.56% vs. 15.38%, P < 0.05). Conclusion High-quality nursing care in hyperbaric oxygen therapy for patients with severe craniocerebral injury can alleviate their negative emotions, improve their quality of life, promote their recovery of motor function, and reduce adverse events, and is significantly effective, so it is worth being clinically generalized.