多元化护理在颅脑损伤开颅手术患者中的应用效果

Application effects of diversified nursing in patients with craniotomy

目的:观察多元化护理在颅脑损伤开颅手术患者中的应用效果。方法:选取66例行开颅手术的颅脑损伤患者为研究对象,按照随机数字表法分为对照组(n=33)和研究组(n=33)。对照组采用常规护理,研究组采用多元化护理,比较两组护理前后美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数(BI)评分、Fugl-Meyer运动功能评定量表(FMA)评分、并发症发生率、护理满意度及预后情况。结果:护理后,研究组NIHSS评分低于对照组,BI和FMA评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为9.09%(3/33),低于对照组的30.30%(10/33),差异有统计学意义(P<0.05);研究组家属护理满意度为96.97%(32/33),高于对照组的75.76%(25/33),差异有统计学意义(P<0.05);研究组预后良好率为87.88%(29/33),高于对照组的60.61%(20/33),差异有统计学意义(P<0.05)。结论:多元化护理用于颅脑损伤开颅手术患者可降低NIHSS评分和并发症发生率,提高BI评分、FMA评分及家属护理满意度,还能改善患者预后,效果优于常规护理。

Objective: To observe application effects of diversified nursing in patients with craniotomy. Methods: 66 patients with craniocerebral injuries who underwent craniotomy were selected as the research objects, and were divided into control group(n=33) and study group(n=33) according to the random number table method. The control group received conventional nursing, and the study group was given the diversified nursing. The National Institutes of Health stroke scale(NIHSS) score, the Barthel index(BI) score, the Fugl-Meyer motor function assessment(FMA) score, the incidence of complications, the nursing satisfaction and the patients’ prognosis were compared between the two groups before and after the nursing. Results: After the nursing, the NIHSS score of the study group was lower than that of the control group;the BI score and the FMA score were higher than those of the control group;and the differences were statistically significant(P<0.05). The incidence of complications in the study group was 9.09%(3/33), which was lower than 30.30%(10/33) in the control group, and the difference was statistically significant(P<0.05). The nursing satisfaction of family members in the study group was 96.97%(32/33), which was higher than that the control group of 75.76%(25/33), and the difference was statistically significant(P<0.05). Further, the good prognosis rate of the study group was 87.88%(29/33), which was higher than the control group of 60.61%(20/33), and the difference was statistically significant(P<0.05). Conclusions: The diversified nursing for the patients with craniotomy can reduce the NIHSS score and the complication rate, improve the BI score, the FMA score and the nursing satisfaction of family members, and improve the patients’ prognosis. Moreover, it is superior to the conventional nursing.