观察并分析重症颅脑损伤患者术后护理中综合性护理的应用效果

To Observe and Analyze the Application Effect of Comprehensive Nursing in Postoperative Nursing of Patients with Severe Craniocerebral Injury

目的 探析综合性护理在重症颅脑损伤患者术后护理中的应用效果。方法 本次试验对象所选150例重症颅脑损伤患者均为本院2018年5月至2019年5月接收,基于平行对照法分为对照组与观察组,各75例。给予对照组常规护理方法,为患者讲解疾病知识,根据医嘱对患者用药进行指导,并为其营造舒适、干净的治疗环境,对患者病情变化密切监测,一旦患者出现并发症、病情变化显著时,立即向医师汇报,并协助其进行处理等。给予观察组综合性护理措施,主要包括心理调节、体位干预、呼吸道干预、鼻饲干预、生活干预和康复干预。对比两组患者的APACHEⅡ评分及GCS评分、并发症发生率、Barthel指数评分和NFD评分。结果 观察组与对照组护理前APACHEⅡ评分、GCS评分无明显差异(P> 0.05);护理后,观察组APACHEⅡ评分、GCS评分显著优于对照组(P <0.05)。观察组并发症发生率为8.00%,对照组为24.00%,差异有统计学意义(P <0.05)。护理前,两组患者Barthel指数评分、NFD评分比较,差异无统计学意义(P> 0.05);护理后,观察组Barthel指数评分、NFD评分显著优于对照组(P <0.05)。结论 重症颅脑损伤患者术后护理期间,联用常规护理与综合性护理方法,可进一步改善患者神经功能、日常生活能力,避免并发症的发生。

Objective To explore the application effect of comprehensive nursing in postoperative nursing of patients with severe craniocerebral injury.Methods One hundred and fifty patients with severe craniocerebral injury were enrolled in our hospital from May 2018 to May 2019,and were divided into control group and observation group based on parallel control method,with 75 cases in each group.Giving the control group,routine nursing method for patients with disease knowledge,according to the doctor’s advice to patients medication guide,and create a comfortable,clean environment,closely monitor the patient condition changes,once the complications,the patient changes significantly,immediately report to the doctor,and to assist in handling the and so on.The observation group was given comprehensive nursing measures,mainly including psychological adjustment,body position intervention,respiratory tract intervention,nasal feeding intervention,life intervention and rehabilitation intervention.APACHE Ⅱscore,GCS score,complication rate,Barthel index score and NFD score of 2 groups were compared.Results There were no significant differences in APACHE Ⅱ score and GCS score between the observation group and the control group before nursing(P>0.05).After nursing,observation group was better than control group,the difference was significant(P<0.05).The incidence of complications was 8.00% in the observation group and 24.00% in the control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in Barthel index score and NFD score between 2 groups(P>0.05),but after nursing,scores in observation group were significantly better than those in control group(P<0.05).Conclusion During the postoperative nursing of patients with severe craniocerebral injury,the combination of routine nursing and comprehensive nursing can further improve the patients’ neurological function and daily living ability,and avoid the occurrence of complications.