格拉斯哥评分在颅脑损伤护理观察中的应用研究

Application of Glasgow Score in Nursing Observation of Craniocerebral Injury

目的研究格拉斯哥评分在颅脑损伤护理观察中的应用效果。方法选取本院于2021年1月至2022年9月收治的颅脑损伤患者60例,按照随机数字表法分为对照组(30例)和观察组(30例),对照组颅脑损伤患者采用常规护理,观察组颅脑损伤患者采用综合护理,对比两组颅脑损伤患者的营养指标、护理满意度、格拉斯哥评分、神经功能缺损评分、日常生活能力评分、生活质量评分、并发症情况。结果观察组颅脑损伤患者红细胞血清总胆红素、白蛋白、转铁蛋白各项营养指标高于对照组,有统计学意义(t=11.326、8.425、6.469,P<0.05)。观察组颅脑损伤患者护理总满意度高于对照组,有统计学意义(χ^(2)=6.259,P<0.05)。观察组颅脑损伤患者护理后GCS格拉斯哥评分高于护理前,NIHSS神经功能缺损评分低于护理前,有统计学意义(t=7.281、13.765,P<0.05);对照组颅脑损伤患者护理后GCS格拉斯哥评分高于护理前,NIHSS神经功能缺损评分低于护理前,有统计学意义(t=5.450、8.043,P<0.05);观察组颅脑损伤患者护理后GCS格拉斯哥评分高于对照组,NIHSS神经功能缺损评分低于对照组,有统计学意义(t=5.648、6.822,P<0.05)。观察组颅脑损伤患者ADL日常生活能力评分高于护理前,有统计学意义(t=10.203,P<0.05);对照组颅脑损伤患者ADL日常生活能力评分高于护理前,有统计学意义(t=7.167,P<0.05);观察组颅脑损伤患者ADL日常生活能力评分高于对照组,有统计学意义(t=8.481,P<0.05)。观察组颅脑损伤患者WHO-QOL-100生活质量评分高于护理前,有统计学意义(t=9.354,P<0.05);对照组颅脑损伤患者WHO-QOL-100生活质量评分高于护理前,有统计学意义(t=7.237,P<0.05);观察组颅脑损伤患者WHO-QOL-100生活质量评分高于对照组,有统计学意义(t=5.148,P<0.05)。观察组颅脑损伤患者并发症总发生率低于对照组,有统计学意义(χ^(2)=8.754,P<0.05)。结论综合护理在颅脑损伤患者中的应用效果显著优于常规护理,颅脑损伤患者在综合护理下营养指标显著好转、护理满意度显著提高、昏迷情况显著好转、神经功能缺损情况显著减少、日常生活能力显著提高、生活质量显著提高、并发症发生率显著下降,因此综合护理在颅脑损伤患者中更具推广价值。

Objective To study the application effect of Glasgow score in nursing observation of craniocerebral injury.Methods A total of 60 patients with craniocerebral injury admitted in our hospital from January 2021 to September 2022 were selected and divided into the control group(30 cases)and the observation group(30 cases)according to the method of random number table.The patients with craniocerebral injury in the control group were given routine nursing care,while the patients with craniocerebral injury in the observation group were given comprehensive nursing care.The nutritional indicators,nursing satisfaction,Glasgow score,neurological deficit score,ability of daily living score,quality of life score and complications.Results The nutritional indexes of erythrocyte total bilirubin,albumin and transferrin in the observation group were higher than those in the control group(t=11.326,8.425,6.469,P<0.05).The total satisfaction of patients with craniocerebral injury in the observation group was higher than that in the control group,with statistical significance(χ^(2)=6.259,P<0.05).The Glasgow score of patients with craniocerebral injury in the observation group after nursing was higher than that before nursing,and the NIHSS neural function defect score was lower than that before nursing,with statistical significance(t=7.281,13.765,P<0.05);in the control group,the Glasgow score after nursing was higher than that before nursing,and the NIHSS neural function defect score was lower than that before nursing,with statistical significance(t=5.450,8.043,P<0.05);after nursing,the Glasgow score of patients with craniocerebral injury in the observation group was higher than that in the control group,and the NIHSS neurological deficit score was lower than that in the control group,with statistical significance(t=5.648,6.822,P<0.05).The ADL daily living ability score of patients with brain injury in the observation group was higher than that before nursing,with statistical significance(t=10.203,P<0.05);the ADL daily living ability score of patients with brain injury in the control group was significantly higher than that before nursing(t=7.167,P<0.05);the ADL daily living ability score in the observation group was significantly higher than that in the control group(t=8.481,P<0.05).The WHO-QOL-100 quality of life score of patients with craniocerebral injury in the observation group was higher than that before nursing,with statistical significance(t=9.354,P<0.05);the WHO-QOL-100 quality of life score of patients with brain injury in the control group was significantly higher than that before nursing(t=7.237,P<0.05);the score of WHO-QOL-100 in the observation group was higher than that in the control group(t=5.148,P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with statistical significance(χ^(2)=8.754,P<0.05).Conclusion The application effect of comprehensive nursing in patients with craniocerebral injury is significantly better than that of routine nursing.Under comprehensive nursing,the nutritional indicators of patients with craniocerebral injury are significantly improved,the satisfaction of nursing is significantly improved,the coma is significantly improved,the neurological function defect is significantly reduced,the daily living ability is significantly improved,the quality of life is significantly improved,and the incidence of complications is significantly reduced,Therefore,comprehensive nursing is more valuable to promote in patients with brain injury.