“一病一品”护理在重度颅脑损伤术后昏迷患者中的应用效果

Application effects of “one disease, one product” nursing in coma patients after severe craniocerebral injuries

目的:观察“一病一品”护理在重度颅脑损伤术后昏迷患者中的应用效果。方法:选取83例重度颅脑损伤术后昏迷患者为研究对象,按照随机数字表法分为对照组(n=41)和观察组(n=42)。对照组实施常规护理,观察组在对照组基础上实施“一病一品”护理,比较两组护理前后意识状态[格拉斯哥昏迷指数(GCS)]评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、并发症发生率及护理满意度。结果:护理后,观察组GCS评分高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为4.76%,低于对照组的21.95%,差异有统计学意义(P<0.05);观察组护理满意度为97.62%,高于对照组的80.49%,差异有统计学意义(P<0.05)。结论:“一病一品”护理联合常规护理应用于重度颅脑损伤术后昏迷患者,可有效改善意识状态及神经功能,降低并发症发生率,提高护理满意度,其效果优于单纯常规护理。

Objective: To observe application effects of “one disease, one product” nursing in coma patients after severe craniocerebral injuries. Methods: 83 patients with postoperative coma after severe craniocerebral injuries were selected as the research objects, and were divided into control group(n=41) and observation group(n=42) according to the random number table method. The control group received routine nursing,while the observation group was given the “one disease, one product” nursing on the basis of that of the control group. The consciousness state [Glasgow coma scale(GCS)] score, the neurological deficit [national institutes of health stroke scale(NIHSS)] score, the incidence of complications and the nursing satisfaction were compared between the two groups before and after the nursing. Results: After the nursing, the GCS score of the observation group was higher than that of the control group, the NIHSS score of the observation group was lower than that of the control group, and the differences were statistically significant(P<0.05). The incidence of complications in the observation group was 4.76%, which was lower than 21.95%in the control group, and the difference was statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was 97.62%,which was higher than the control group of 80.49%, and the difference was statistically significant(P<0.05). Conclusions: “One disease, one product”nursing combined with routine nursing for the coma patients after severe craniocerebral injuries can effectively improve the consciousness state and the neurological function, reduce the incidence of complications, and improve the nursing satisfaction. Moreover, it is superior to single routine nursing.