预见性护理在ICU重症颅脑损伤合并糖尿病患者预防压力性损伤中的应用效果

Application of Predictive Nursing in the Prevention of Stress Injury in ICU Patients with Severe Head Injury and Diabetes

目的探讨预见性护理应用在ICU重症颅脑损伤合并糖尿病患者中对预防压力性损伤的效果。方法将2020年1月至2020年12月于我院治疗的66例ICU重症颅脑损伤合并糖尿病患者通过抽签(奇偶数)方法分为观察组(33例)与对照组(33例),分别对两组患者实施预见性康复护理(观察组)和常规护理(对照组),比较不同护理的效果。结果经过不同护理后,观察组(1例,占3.03%)合并压力性损伤的发生率明显低于对照组(10例,占30.30%),差异有统计学意义(P<0.05);经过不同护理后,观察组的Braden评分明显高于对照组(P<0.05);护理后,观察组的格拉斯昏迷指数(GCS)评分、急性生理学及慢性健康状况评分系统(APACHEⅡ)评分改善情况均明显比对照组更优(P<0.05);观察组患者的ICU住院时间明显比对照组短,住院费用明显比对照组少(P<0.05);护理后,观察组的空腹血糖、餐后2 h血糖、糖化血红蛋白的控制情况明显优于对照组(P<0.05);观察组(32例,占96.97%)患者的护理满意度明显高于对照组(26例,占78.79%),差异有统计学意义(P<0.05)。结论对于重症颅脑损伤合并糖尿病患者通过预见性康复护理干预能有效降低压力性损伤的发生率,改善Braden评分、昏迷情况和健康状况,促进患者的恢复,控制整体血糖水平,提高满意度。

Objective To discuss the effect of predictive nursing in the prevention of stress injuries in ICU patients with severe head injury and diabetes.Methods A total of 66 ICU patients with severe craniocerebral injury and diabetes who came to our hospital from January 2020 to December 2020 were divided into observation group(33 cases)and control group(33 cases)by lottery(odd and even numbers).Carry out predictive rehabilitation nursing(observation group)and routine nursing(control group)to the two groups of patients,and compare the effects of different nursing.Results After different care,the observation group(1 case,accounting for 3.03%)had a significantly lower incidence of combined stress injuries than the control group(10 cases,accounting for 30.30%),and the difference was statistically significant(P<0.05).After different care,the Braden score of the observation group was significantly higher than that of the control group(P<0.05).After the care,the observation group's Glass Coma index(GCS)score,acute The improvement of physiology and chronic health status scoring system(APACHEⅡ)was significantly better than that of the control group(P<0.05).The ICU hospitalization time of the observation group was significantly shorter than that of the control group.The cost was significantly less than that of the control group(P<0.05).After nursing,the control of fasting blood glucose level,2h postprandial blood glucose level,and glycosylated hemoglobin level of the observation group was significantly better than that of the control group(P<0.05).The nursing satisfaction of the observation group(32 cases,accounting for 96.97%)was significantly higher than that of the control group(26 cases,accounting for 78.79%),and the difference was statistically significant(P<0.05).Conclusion For patients with severe craniocerebral injury and diabetes,through predictive rehabilitation nursing intervention can effectively reduce the incidence of stress injury,improve the Braden score,improve the patient's coma and health,promote the recovery of the patient,control the overall blood sugar level,and increase satisfaction.