KPI-360度评价指标体系对一氧化碳中毒迟发性脑病的护理效果

Nursing Effect of KPI-360 Degree Appraisal System on Delayed Encephalopathy After Carbon Monoxide Poisoning

目的:分析神经康复护理绩效KPI-360度评价指标体系对一氧化碳中毒迟发性脑病(DEACMP)的护理效果。方法:选取2020年1月-2022年3月吉林省吉林市化工医院收治的DEACMP患者90例为观察对象,根据计算器法分为对照组(43例)与观察组(47例)。对照组采用传统康复护理干预,观察组采用神经康复护理绩效KPI-360度评价指标体系护理干预。比较两组患者考核评分(康复工作、模块遂行和可靠性评分)、活动能力恢复情况[肌少症防治评分、日常生活自理能力量表(BI)]、精神恢复情况[简易智能精神状态量表(MMSE)、长谷川痴呆量表(HDS)]。结果:开展后,两组患者康复工作、模块遂行和可靠性评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);开展后,观察组患者肌少症防治评分高于对照组,差异有统计学意义(P<0.05);开展后,两组患者BI评分比较,差异无统计学意义(P>0.05);开展前、后,两组患者MMSE评分、HDS评分比较,差异均无统计学意义(P>0.05)。结论:神经康复护理绩效KPI-360度评价指标体系对DEACMP的护理效果显著,可改善患者活动能力及精神情况。

Objective: To analyze the nursing effect of neurorehabilitation nursing performance KPI-360 degree appraisal systemon delayed encephalopathy after acute carbon monoxide poisoning(DEACMP). Methods: From January 2020 to March 2022, 90patients with DEACMP admitted to Jilin City Hospital of Chemical Industry in Jilin Province were selected as observation objects,and they were divided into control group(43 cases) and observation group(47 cases) according to the calculator method. Thecontrol group used traditional rehabilitation nursing intervention, and the observation group used the neurorehabilitation nursingperformance KPI-360 degree appraisal system nursing intervention. The assessment scores(rehabilitation work, module executionand reliability scores), recovery of activity ability [sarcopenia prevention and treatment score, daily living independence abilityscale(Barthel Index, BI)], mental recovery [Mini-Mental State Examination(MMSE), Hasegawa’s Dementia Scale(HDS)] werecompared between the two groups. Results: After the implementation, the rehabilitation work, module execution and reliabilityscores of the two groups increased, and the observation group was higher than the control group, and the difference was statisticallysignificant(P<0.05). After the implementation, the observation group had a higher score for the prevention and treatment ofsarcopenia than the control group, and the difference was statistically significant(P<0.05). After the implementation, there was nosignificant difference in the BI scores between the two groups(P>0.05). Before and after the implementation, there were nosignificant differences in MMSE scores and HDS scores between the two groups(P>0.05). Conclusion: The neurorehabilitationnursing performance KPI-360 degree appraisal system has a significant nursing effect on DEACMP, it can improve the locomotoractivity and mental condition of patients.