优质护理在颅脑外伤开颅血肿清除加去骨瓣减压术围手术期中的应用效果

Effect of High Quality Nursing in the Perioperative Period of Craniotomy Hematoma Removal and Decompressive Craniectomy for Craniocerebral Trauma

目的评价优质护理应用于颅脑外伤开颅血肿清除加去骨瓣减压术围手术期对患者整体康复效果的影响,为颅脑外伤患者康复护理工作提供参考。方法选择我院2018年3月至2019年4月接受开颅血肿清除加去骨瓣减压术治疗的80例颅脑外伤患者,根据护理方法的不同分为对照组与观察组,各40例。对照组患者采取围手术期常规护理,观察组患者采取围手术期优质护理干预,比较两组患者的临床疗效、术后并发症发生情况以及生活质量、运动能力、日常生活能力评分改善情况。结果干预前,两组患者的生活质量量表(QOL)、FuglMeyer运动功能评分量表(FMA)、日常生活活动能力量表(ADL)评分比较无差异(P>0.05)。干预后,观察组QOL、FMA、ADL评分改善情况优于对照组(P<0.05)。观察组患者临床治疗总有效率高于对照组,术后并发症总发生率低于对照组(P<0.05)。结论在颅脑外伤患者围手术期配合优质护理干预可进一步改善患者的生活质量、运动能力、日常生活能力,提高患者的临床疗效和安全性。

Objective To evaluate the effect of high-quality nursing applied in perioperative period of craniocerebral hematoma removal and decompression with craniotomy on the overall rehabilitation effect of patients,and to provide reference for rehabilitation nursing work of patients with craniocerebral injury.Methods A total of 80 cases of craniocerebral trauma patients who underwent craniotomy hematoma removal and decompressive craniectomy from March 2018 to April 2019 were selected in our hospital.According to different nursing methods,they were divided into control group and observation group,with 40 cases in each group.Patients in the control group received routine perioperative care,and patients in the observation group received perioperative high-quality nursing interventions.The clinical efficacy,postoperative complications,and the improvement of the scores of quality of life,exercise ability,and daily living ability of the two groups were compared.Results Before the intervention,there was no difference in the scores of the two groups of patients on the quality of life scale(QOL),Fugl-Meyer motor function score scale(FMA),and activity of daily living scale(ADL)(P>0.05).After the intervention,the improvement of QOL,FMA and ADL scores in the observation group was better than that in the control group(P<0.05).The total effective rate of clinical treatment in the observation group was higher than that in the control group,and the total incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusion Cooperating with high-quality nursing intervention during the perioperative period of patients with craniocerebral trauma can further improve the patient's quality of life,exercise ability,and daily living ability,and improve the clinical efficacy and safety of patients.