特殊护理对颅脑手术后脑室引流患者的效果

Effect of Special Nursing on Patients with Ventricular Drainage after Craniocerebral Surgery

目的:分析探讨特殊护理对颅脑手术后脑室引流患者的干预效果。方法:选取厦门市中医院2019年1月-2020年12月颅脑手术术后进行脑室引流管患者180例为观察对象,采用随机数字法将其分为观察组与对照组,各90例。对照组采用常规护理干预,观察组进行特殊护理干预。比较两组护理前后格拉斯哥昏迷量表、日常生活能力表、改良Barthel指数(MBI)评分与护理后焦虑自评量表、抑郁自评量表。结果:护理后,观察组格拉斯哥昏迷量表、日常生活能力表评分分别为(11.36±1.67)、(68.54±10.33)分,对照组分别为(9.25±1.13)、(56.82±11.32)分,差异有统计学意义(t=9.927 3、7.255 3,P=0.000 0);观察组护理后MBI评分高于对照组,差异有统计学意义(P<0.05);观察组护理后焦虑自评量表与抑郁自评量表评分分别为(42.33±1.31)、(46.12±3.15)分,对照组分别为(76.41±2.23)、(76.55±2.53)分,差异有统计学意义(t=92.757 8、71.452 6,P=0.000 0)。结论:采取特殊护理干预能够有效提高康复效果,改善患者术后各项指标,值得推广与应用于临床护理中。

Objective:To analyze and explore the intervention effect of special nursing on patients with ventricular drainage after craniocerebral surgery.Method:A total of 180 patients with ventricular drainage tube after craniocerebral surgery in Xiamen Hospital of Traditional Chinese Medicine from January 2019 to December 2020 were selected as the objects.They were randomly divided into observation group and control group,with 90 cases in each group.The control group received routine nursing intervention,and the observation group received special nursing intervention.Glasgow coma scale,activity of daily living scale,modified Barthel index (MBI) score before and after nursing,self-rating anxiety scale and self-rating depression scale after nursing were compared between the two groups.Result:After nursing,the scores of Glasgow coma scale,activity of daily living scale were (11.36±1.67),(68.54±10.33) points in the observation group,and (9.25±1.13),(56.82±11.32) points in the control group,and the differences were statistically significant (t=9.927 3,7.255 3,P=0.000 0).The MBI score after nursing of the observation group was significantly higher than that of the control group (P<0.05).The scores of self-rating anxiety scale and self-rating depression scale after nursing in the observation group were (42.33±1.31),(46.12±3.15) points,and (76.41±2.23),(76.55±2.53) points in the control group,the differences were statistically significant (t=92.757 8,71.452 6,P=0.000 0).Conclusion:Special nursing intervention can effectively improve the rehabilitation effect and improve the postoperative indexes of patients.It is worth popularizing and applying in clinical nursing.