早期高压氧治疗联合协同护理对重型颅脑损伤患者的疗效及负性情绪的影响

The Effect of Early Hyperbaric Oxygen Therapy Combined with Cooperative Nursing on the Curative Effect and Negative Emotion of Patients with Severe Head Injury

目的探究协同护理对重型颅脑损伤患者早期高压氧治疗的效果及负性情绪的影响。方法研究对象为方便选取该院在2018年2月—2020年2月收治的重型颅脑损伤70例患者,按照随机数字表法分为对照组35例和观察组35例。对照组患者给予早期高压氧治疗联合常规护理,观察组患者给予早期高压氧治疗联合协同护理。比较护理前后两组患者的神经功能、颅内压及负性情绪(包括抑郁和焦虑)情况,同时比较并发症发生情况,对比治疗效果。结果治疗后,观察组患者的神经功能评分(12.65±4.23)分较对照组(20.56±5.34)分下降更为明显,差异有统计学意义(t=6.869,P<0.001)。治疗后,观察组患者的SDS、SAS评分为(47.28±7.23)分、(51.10±7.21)分,较对照组(53.12±7.06)分、(57.67±7.07)分下降更为明显,差异有统计学意义(t=3.419、3.849,P<0.05)。治疗后,观察组患者的并发症发生率为5.71%,显著低于对照组的17.14%,差异有统计学意义(χ^(2)=4.590,P=0.032)。治疗后1 d、3 d和7 d,与对照组同期比较,观察组颅内压下降更为明显,差异有统计学意义(P<0.05)。结论早期高压氧治疗联合协同护理对重型颅脑损伤患者疗效显著,可有效改善患者的神经症状和颅内压,缓解患者的负性情绪,降低相关并发症的发生。

Objective To explore the effect of cooperative nursing on early hyperbaric oxygen therapy and negative emotion in patients with severe head injury.Methods The subjects of the study were Conveniently selected 70 patients with severe head injury admitted to the hospital from February 2018 to February 2020.According to the random number table method,they were divided into 35 cases in the control group and 35 cases in the observation group.Patients in the control group were given early hyperbaric oxygen therapy combined with routine care,and patients in the observation group were given early hyperbaric oxygen therapy combined with coordinated care.The neurological function,intracranial pressure and negative emotions(including depression and anxiety)of the two groups of patients before and after nursing were compared.At the same time,the occurrence of complications was compared and the treatment effect was compared.Results After treatment,the neurological score(12.6±54.23)points of the observation group decreased more significantly than that of the control group(20.56±5.34)points,and the difference was statistically significant(t=6.869,P<0.001).After treatment,the SDS and SAS scores of patients in the observation group were(47.28±7.23)points and(51.10±7.21)points,which were significantly lower than those of the control group(53.12±7.06)points and(57.67±7.07)points.The difference was statistically significant(t=3.419,3.849,P<0.05).After treatment,the incidence of complications in the observation group was 5.71%,which was significantly lower than the 17.14%in the control group,and the difference was statistically significant(χ^(2)=4.590,P=0.032).At 1 d,3 d and 7 d after treatment,compared with the control group during the same period,the intracranial pressure of the observation group decreased significantly,and the difference was statistically significant(P<0.05).Conclusion Early hyperbaric oxygen therapy combined with coordinated nursing has a significant effect on patients with severe head injury.It can effectively improve the patients'neurological symptoms and intracranial pressure,relieve patients'negative emotions,and reduce the occurrence of related complications.