集束化护理策略在ICU颅脑损伤患者护理中的应用价值

Application Value of Cluster Nursing Strategy in the Nursing of Patients with Head Injury in ICU

目的探讨集束化护理策略在ICU颅脑损伤患者护理中的应用价值。方法选取该院ICU在2018年1月—2019年10月期间收治的64例颅脑损伤患者,按不同护理方案分为两组,即对照组(n=32),采用常规护理;观察组(n=32),在对照组基础上采用集束化护理。比较两组护理前后神经功能、并发症发生率以及恢复状况。结果观察组住ICU时间、尿管留置时间、机械通气时间及住院时间短于对照组,差异有统计学意义(P<0.05);观察组护理后2周NIHSS评分(6.61±0.68)分低于对照组的(9.54±0.73)分,差异有统计学意义(t=16.614,P=0.002);观察组护理不良事件发生率6.25%低于对照组的28.12%,差异有统计学意义(χ^2=5.379,P=0.020)。结论集束化护理策略可相应降低ICU颅脑损伤患者不良事件发生率,缩短住ICU时间,改善患者预后,临床价值高。

Objective To explore the application value of clustered nursing strategy in the nursing of patients with head injury in ICU. Methods A total of 64 patients with craniocerebral injury admitted to the ICU of the hospital from January 2018 to October 2019 were selected and divided into two groups according to different nursing plans, namely the control group(n=32), with routine care;the observation group(n=32), clustered nursing was used on the basis of the control group;the neurological function, complication rate and recovery status of the two groups before and after nursing were compared. Results The observation group’s stay in ICU, urinary catheter indwelling time, mechanical ventilation time and hospital stay were shorter than those in the control group, and the difference was statistically significant(P<0.05). The NIHSS score(6.61±0.68)points of the observation group was lower than that of the control group(9.54 ±0.73)points 2 weeks after nursing. The difference was statistically significant(t =16.614, P =0.002). The incidence of adverse nursing events in the observation group was 6.25% was lower than 28.12% of the control group, the difference was statistically significant(χ^2=5.379, P=0.020). Conclusion The clustered nursing strategy can correspondingly reduce the incidence of adverse events in ICU patients with craniocerebral injury, shorten the time in ICU, and improve the prognosis of patients. It has high clinical value.