预见性护理在颅脑外伤重症患者机械通气脱机护理中的应用研究

Application of Predictive Nursing in Mechanical Ventilation Off-Machine Nursing of Severe Craniocerebral Trauma Patients

为探讨预测性护理在颅脑外伤危重患者机械通气离线护理中的疗效,在2019年2月至2021年2月我院收治的机械通气治疗重型颅脑损伤患者中,选取84例患者作为研究对象,采用随机数字法对患者进行分类。分对照组、研究组,对照组采用基础护理干预,研究组采用预测性护理。两组患者的医学指标值[ICP、MAP(平均动脉压)、CPP(脑灌浆压)、血清蛋白Na+]、发病状况(肾梗阻、肺部感染、低钙血症、上消化道出血、心律失常),脑水肿总面积,预后和生活质量[生理学(PF)、社会发展(SF)、身体疼痛(BP)、情绪责任(RE)、身心健康(MH)]进行比较。发现研究组治疗后ICP、MAP、CPP、血清蛋白Na+水平优于对照组(P<0.05);与对照组相比,研究组出现肾梗阻、肺部感染、低钙血症、上消化道与对照组相比,研究组治疗5 d和治疗10 d后脑水肿总面积较小(P<0.05);与对照组比较,研究组生活质量评分较高(P<0.05)。重症颅脑损伤患者在机械通气治疗时,采用预测性护理干预具有非常明显的医疗效果,可有效提高临床医疗指标值,缩小脑水肿面积。安全系数高,有利于改善康复,提高生活质量,非常值得市场推广。

To explore the curative effect of predictive nursing on off-line nursing of mechanical ventilation in critically injured patients.Methods:From February 2019 to February 2021,84 patients with severe craniocerebral injury treated with mechanical ventilation in our hospital were selected as the study content,and the patients were classified by random number method.(control group and study group),the control group used basic nursing intervention,the study group used predictive nursing.Two groups of patients with medical index[ICP,MAP(mean arterial pressure),CPP grouting pressure(brain),serum Na+],the condition of disease(renal obstruction,pulmonary infection,hypocalcemia,upper gastrointestinal tract)bleeding,cardiac arrhythmias),the total area of the brain edema,prognosis and quality of life[physiology(PF),social development(SF),body pain(BP),Emotional responsibility(RE)and physical and mentalhealth(MH)were compared.Results:The serum protein Na]+level of ICP MAP CPP in the study group was better than that in the control group(P<0.05);Compared with the control group,the total area of cerebral edema was smaller in the study group after 5 days and 10 days of treatment(P<0.05);Compared with the control group,the study group had higher quality of life scores(P<0.05)during mechanical ventilation treatment of severe craniocerebral injury patients,using a predictive nursing intervention has very obvious health care effect,can effectively improve the clinical medical index,reduce the total area of the cerebellum edema,reduce the occurrence of cerebellar edema Adverse reactions to high safety coefficient,which is beneficial to improve recovery,improve the quality of life,is worthy of promotion.