围术期护理在颅脑损伤患者压疮预防中的应用效果

Application effects of perioperative nursing in prevention of pressure ulcer in patients with craniocerebral injuries

目的:观察围术期护理在颅脑损伤患者压疮预防中的应用效果。方法:选取58例颅脑损伤患者为研究对象,按照随机数字表法分为对照组与观察组各29例。对照组给予常规护理,观察组给予围术期护理,比较两组压疮发生率、机械通气时间、ICU治疗时间、住院时间和护理前后简明健康状况调查问卷(SF-36)评分。结果:观察组压疮发生率为6.90%,低于对照组的31.03%,差异有统计学意义(P<0.05);观察组机械通气时间、ICU治疗时间和住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:围手术期护理可降低颅脑损伤患者压疮发生率,缩短机械通气时间、ICU治疗时间和住院时间,提高生命质量评分,优于常规护理效果。

Objective:To analyze effects of perioperative nursing in prevention of pressure ulcer in patients with craniocerebral injuries.Methods:58 patients with craniocerebral injuries were selected as the research objects and divided into control group and observation group according to the random number table method,29 cases in each group.The control group was given routine nursing,while the observation group was given perioperative nursing.The incidence of pressure ulcer,mechanical ventilation time,ICU treatment time,hospitalization time and the MOS 36-item short form health survey(SF-36)score before and after nursing were compared between the two groups.Results:The incidence of pressure ulcer in the observation group was 6.90%,which was lower than 31.03%in the control group,and the difference was statistically significant(P<0.05).The mechanical ventilation time,ICU treatment time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the SF-36 scores of the two groups were higher than those before the nursing;that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:The perioperative nursing can reduce the incidence of pressure ulcer in the patients with craniocerebral injuries,shorten the mechanical ventilation time,ICU treatment time and hospitalization time,and improve the quality of life score.Moreover,it is superior to routine nursing.