重型颅脑损伤患者脑水肿的观察及护理

Observation and Nursing of Cerebral Edema in Patients with Severe Head Injury

目的分析重型颅脑损伤患者脑水肿的护理对策及效果。方法2017年3月至2018年10月在我院收治的重型颅脑损伤患者中随机抽取42例,入选患者经整群随机抽样法分为研究组(n=21)和参考组(n=21),所有患者均接受常规手术治疗及病情与生命体征监测等常规护理,研究组患者联合应用针对性护理干预,比较两组患者脑水肿发生率、病死率,统计和对比两组患者护理满意度。结果参考组出现脑水肿患者共计7例,总发生率为33.33%,1例患者死亡,病死率为4.76%,研究组出现脑水肿患者共计2例,总发生率为9.52%,1例患者死亡,病死率为4.76%,两组患者脑水肿发生率差异有统计学意义(P<0.05),两组病死率差异无统计学意义(P>0.05)。研究组患者护理总满意度为95.24%,参考组患者护理总满意度为80.95%,与参考组患者相比,研究组患者护理满意度明显更高,两组患者护理总满意度经对比差异有统计学意义(P<0.05)。结论为重型颅脑损伤患者提供针对性护理干预有助于降低脑水肿发生率,同时还能够优化医患以及护患关系,既能够加快患者病情改善,还可提升医院形象,进而可推动医院各项工作顺利开展。

Objective To analyze the nursing strategies and effects of brain edema in patients with severe craniocerebral injury.Methods From March 2017 to October 2018,42 patients with severe craniocerebral injury admitted to our hospital were randomly selected.The selected patients were divided into study group(n=21)and reference group by cluster random sampling method(n=21)All patients underwent routine surgical treatment and routine care of condition and vital signs.The patients in the study group were combined with targeted nursing intervention to compare the incidence of cerebral edema and mortality in the two groups.degree.Results There were 7 patients with cerebral edema in the reference group.The total incidence was 33.33%.One patient died and the mortality rate was 4.76%.In the study group,there were 2 patients with cerebral edema,the total incidence was 9.52%,and one patient died.The mortality rate was 4.76%.There was a statistically significant difference in the incidence of cerebral edema between the two groups(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).The total satisfaction of patients in the study group was 95.24%,and the total satisfaction of patients in the reference group was 80.95%.The total satisfaction of the two groups was statistically significant(P<0.05).Conclusion Providing targeted nursing intervention for patients with severe craniocerebral injury can help reduce the incidence of cerebral edema,and at the same time optimize the relationship between doctors and patients and the relationship between nurses and patients,which can not only improve the patient's condition,but also enhance the hospital image,which in turn can promote the hospital.The work was carried out smoothly.