莱温守恒模式应用于颅脑损伤患者护理的效果

Effects of the Levin conservation model applied to the care of patients with craniocerebral injury

目的 探讨在颅脑损伤患者护理中引入基于莱温守恒模式干预效果。方法 选取2019年6月至2021年6月在国药葛洲坝中心医院诊治的100例颅脑损伤患者采用随机数字表法进行分组。常规组(50例)行常规护理,干预组(50例)再行基于莱温守恒模式干预。观察干预2周后,比较患者自我管理能力、神经功能改善及住院期间并发症发生情况。结果 干预后,干预组疾病、情绪、生活、康复锻炼、社会与人际管理评分高于干预前,且高于常规组,差异有统计学意义(P <0.05)。干预后,两组改良Rankin量表及美国国立卫生研究院卒中量表评分低于干预前,且干预组低于常规组,差异有统计学意义(P <0.05)。干预组并发症总发生率低于常规组,差异有统计学意义(P <0.05)。结论 莱温守恒模式下护理用于颅脑损伤患者,可提高患者自我管理能力及神经功能恢复效果,减少并发症。

Objective To investigate the effects of introducing Levine conservation model intervention in the care of patients with craniocerebral injury. Methods One hundred patients with craniocerebral injury admitted to the Sinopharm Gezhouba Central Hospital from June 2019 to June 2021 were selected and grouped by the random number table method. The conventional group(50 cases) was given conventional care and the intervention group(50 cases) was then given intervention based on the Levin conservation model. After two weeks of the intervention, the patients’ self-management ability,improvement in neurological function, and complications during hospitalization were compared. Results After the intervention, the disease, mood, life, rehabilitation exercise, and social and interpersonal management scores in the intervention group were higher than before the intervention, while those in the intervention group were higher than in the conventional group, with statistically significant differences(P < 0.05). After the intervention, the modified Rankin scale and National Institutes of Health stroke scale scores in both groups were lower than before the intervention, while those in the intervention group were lower in the intervention group than in the conventional group, with statistically significant differences(P < 0.05). The overall complication rate in the intervention group was lower than that in the conventional group,and the difference was statistically significant(P < 0.05). Conclusion Care under the Levin conservation model for patients with craniocerebral injury improves patient self-management and neurological recovery outcomes and reduces complications.