集束化护理对重症颅脑损伤患者昏迷指数及压疮发生率的影响

Impact of Cluster Nursing on Coma Index and Incidence of Pressure Sores in Patients with Severe Craniocerebral Injury

目的探讨集束化护理对重症颅脑损伤患者昏迷指数及压疮发生率的影响。方法回顾性分析2018年7月至2019年8月我院收治的123例重症颅脑损伤患者的临床资料,根据护理方法的不同分为两组。对照组61例采用常规护理,观察组62例采用集束化护理,比较两组的昏迷指数及压疮发生率。结果护理7 d后,两组的GCS评分均较护理前提高,且观察组的GCS评分显著高于对照组(P<0.05)。护理7 d后,观察组的压疮发生率为3.23%,显著低于对照组的14.75%(P<0.05)。结论集束化护理可有效改善重症颅脑损伤患者的昏迷指数,降低压疮发生率。

Objective To explore the impact of cluster nursing on coma index and incidence of pressure sores in patients with severe craniocerebral injury.Methods The clinical data of 123 patients with severe craniocerebral injury admitted to our hospital from July 2018 to August 2019 were retrospectively analyzed.All cases were divided into two groups according to different nursing methods.61 cases in the control group received regular nursing,and 62 cases in the observation group received cluster nursing.The coma index and incidence of pressure sores were compared between the two groups.Results After 7 days of nursing,the GCS scores of both groups were higher than those before nursing,and the GCS scores of the observation group were significantly higher than those of the control group(P<0.05).After 7 days of nursing,the incidence of pressure sores of the observation group was 3.23%,significantly lower than 14.75%of the control group(P<0.05).Conclusions Cluster nursing can effectively improve the coma index and reduce the incidence of pressure sores of patients with severe craniocerebral injury.