早期康复护理干预在神经外科重症患者临床护理中的应用

Application of Early Rehabilitation Nursing Intervention in the Clinical Nursing of Severe Patients in Neurosurgery

目的:分析早期康复护理干预在神经外科危重症患者临床护理中的作用。方法:随机选取2019年3月~2020年6月某院收治的神经外科危重患者76例。应用随机数字表法将其分为研究组和对照组各38例,研究组应用早期康复护理干预,对照组应用常规护理干预。比较两组在护理前后的GCS(昏迷)、Fugl-Meyer(运动功能)和ADL(日常生活活动)评分,对患者护理满意度进行评分并比较。结果:护理前,两组之间的GCS、Fugl-Meyer和ADL评分无显著差异。护理后,两组评分都有所提高,且研究组上述评分高于对照组(P<0.05),护理满意度评分也高于对照组(P<0.05)。结论:神经外科危重症患者早期康复护理可有效改善昏迷、运动功能及日常生活能力,提高护理满意度。

Objective:To analyze the role of early rehabilitation nursing intervention in the clinical nursing of critically ill patients in neurosurgery.Methods:Seventy-six critically ill neurosurgical patients admitted to a hospital from March 2019 to June 2020 were randomly selected.They were divided into two groups by the random number table method,with 38 cases in each group.The study group was given early rehabilitation nursing intervention,and the control group was given routine nursing intervention.GCS(coma),Fugl-Meyer(motor function)and ADL(activities of daily living)scores were compared between the two groups before and after care.The nursing satisfaction of patients was scored and compared.Results:Before nursing,there was no significant difference in GCS,Fugl-Meyer,and ADL scores between the two groups.After nursing,scores in both groups improved.The scores of the study group were higher than those of the control group(P<0.05),and nursing satisfaction score was also higher than that of the control group(P<0.05).Conclusion:Early rehabilitation nursing can effectively improve coma,motor function and daily living ability of critically ill neurosurgical patients,and improve nursing satisfaction.