急诊护理流程在急诊脑外伤开颅手术中的管理应用

Application of Emergency Nursing Process in Emergency Craniotomy for Traumatic Brain Injury

目的探讨急诊护理流程在急诊脑外伤开颅手术中的管理应用价值。方法选择本院2017年3月—2019年6月收治急诊脑外伤需实施开颅手术治疗者80例,按照随机数字表法分为两组,均为40例。对照组给实施传统护理,观察组则实施急诊护理流程管理,比较两组完善术前准备时间与术后住院时间;比较两组治疗期间并发症情况;比较两组随访期间认知功能简易精神状态评价量表(MMSE)评分变化情况;比较两组整体治疗效果。结果观察组完善术前准备时间短于对照组(P<0.05),术后住院时间短于对照组(P<0.05),观察组治疗期间发生的术后感染、再出血、低颅压综合征总比例低于对照组(P<0.05),观察组术后1、术后3及术后6个月MMSE评分均高于对照组(P<0.05),观察组好转出院率高于对照组(P<0.05)。结论针对脑外伤需实施开颅手术者,进行急诊护理流程管理,能有效缩短术前准备时间,减少术后并发症,促进术后神经功能恢复,进而提高整体治疗效果。

Objective To explore the management and application value of emergency nursing process in emergency craniotomy for traumatic brain injury.Methods 80 cases from March 2017 to June 2019 with emergency traumatic brain injury requiring craniotomy were randomly divided into two groups,with 40 cases in each group.According to the group to implement traditional nursing,the ob servation group were used real-time emergency nursing process management,then the two groups to improve the preoperative preparation time and postoperative hospitalization time were compared;The complications of the two groups during treatment were compared.The changes of MMSE scores during the follow-up period were compared between the two groups.The overall therapeutic effects of the two groups were compared.Results The improvement of preoperative preparation time in the observation group was significantly shorter than that in the control group(P<0.05),and the postoperative hospitalization time was significantly shorter than that in the control group(P<0.05).the total proportion of postoperative infection,rebleeding and intracranial hypotension syndrome in the observation group during the treatment period was significantly lower than that in the control group(P<0.05).MMSE scores in the observation group 1,3 and 6 months after the operation were significantly higher than that in the control group(P<0.05),and the improvement discharge rate in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Emergency nursing process management for patients with traumatic brain injury requiring craniotomy can effectively shorten preoperative preparation time,reduce postoperative complications,promote postoperative neurological function recovery,and further improve the overall treatment effect.