过渡期护理对ICU重症颅脑损伤患者预后的影响

Effect of Transitional Nursingon Prognosis of ICU Patients with Severe Craniocerebral Injury

目的:探讨过渡期护理对ICU重症颅脑损伤患者预后的影响。方法:按照随机数表法将2017年3月—2019年12月于郑州市第七人民医院接受治疗的86例ICU重症颅脑损伤患者分为对照组和观察组,每组各43例。给予对照组患者常规护理干预,观察组则实施过渡期护理干预。对比两组患者不良事件发生率、负性情绪及护理满意度。结果:护理后,相比对照组(25.58%),观察组不良事件总发生率(6.98%)较低,差异有统计学意义(P<0.05);护理前,两组SDS、SAS评分对比,差异无统计学意义(P>0.05);护理后,相比对照组,观察组SDS及SAS评分均较低,差异有统计学意义(P<0.05);护理后,相比对照组(81.40%),观察组护理总满意率(97.67%)较高,差异有统计学意义(P<0.05)。结论:对ICU重症颅脑损伤患者实施过渡期护理有利于降低不良事件发生率,改善预后,调节不良心理状态,提高患者护理满意度。

Objective:To explore the effect of transitional nursing on the prognosis of ICU patients with severe craniocerebral injury.Methods:86 patients with severe craniocerebral injury in ICU from March 2017 to December 2019 in the hospital were randomly divided into control group and observation group,with 43 cases in each group.The control group was given routine nursing intervention,while the observation group was given transitional nursing intervention.The incidence of adverse events,negative emotions and nursing satisfaction were compared between the two groups.Results:After nursing,compared with the control group(25.58%),the total incidence of adverse events in the observation group(6.98%)was lower,the difference was statist ically significant(P<0.05).Before nursing,the SDS and SAS scores of the two groups were not statistically si gnificant(P>0.05).After nursing,compared with the control group,the SDS and SAS scores of the observation group were lower,the difference was statistically significant(P<0.05).After nursing,compared with the control group(8140%),the total nursing satisfaction rate of the observation group(97.67%)was higher,the difference was statistically significant(P<0.05).Conclusion:The implementation of transitional care in ICU patients with severe craniocerebral injury is conducive to reduce the incidence of adverse events,improve the prognosis,adjust the adverse psychological state,and improve the nursing satisfaction of patients.