动态交互模型护理在颅脑损伤患者中的应用效果

Dynamic interaction model nursing care for patients with craniocerebral injury

目的分析动态交互模型护理在颅脑损伤患者中的应用效果。方法选取2020年1月至2023年1月江南大学附属中心医院收治的80例颅脑损伤患者,根据入院顺序分为对照组和观察组,各40例。对照组男25例,女15例,年龄(39.20±2.01)岁。观察组男28例,女12例,年龄(39.19±1.98)岁。对照组采用常规护理,观察组采用动态交互模型护理。于患者入院当天与干预30 d时,使用自我效能量表(ESCA)、运动功能量表(FMA)、健康调查简表(SF-36)评价两组患者自护能力、运动功能以及生活质量。采用χ^(2)检验、t检验。结果入院当天,对照组ESCA总分、FMA总分以及SF-36总分分别为(86.63±2.05)分、(13.24±2.65)分、(53.23±3.21)分,观察组分别为(86.07±2.11)分、(13.19±2.76)分、(53.19±3.17)分,差异均无统计学意义(t=1.204、0.083、0.056,P=0.232、0.934、0.955);干预30 d时,对照组ESCA总分、FMA总分以及SF-36总分分别为(130.49±4.56)分、(23.16±2.38)分、(66.96±3.05)分,均低于观察组[(133.42±3.96)分、(24.81±2.16)分、(68.33±2.97)分],差异均有统计学意义(t=3.068、3.247、2.035,P=0.003、0.002、0.045)。结论动态交互模型护理能够明显强化颅脑损伤患者的自护能力水平,显著改善其运动功能,大幅度提升其生活质量。

Objective To analyze the effect of dynamic interaction model nursing care for patients with craniocerebral injury.Methods Eighty patients with craniocerebral injury treated at Central Hospital Affiliated to Jiangnan University from January 2020 to January 2023 were selected and were divided into a control group and an observation group according to the admission order,with 40 cases in each group.There were 25 males and 15 females in the control group;they were(39.20±2.01)years old.There were 28 males and 12 females in the observation group;they were(39.19±1.98)years old.The observation group took routine nursing care,and the observation group took dynamic interaction model nursing care.The Exercise of Self-care Agency Scale(ESCA),Fugl-Meyer Assessment(FMA),and MOS 36-Item Short-Form Health Survey(SF-36)were used to evaluate the self-care ability,motor function,and quality of life in both groups.The χ^(2) and t tests were applied.Results On the day of admission,the total scores of ESCA,FMA,and SF-36 in the control group were(86.63±2.05),(13.24±2.65),and(53.23±3.21),and those in the observation group were(86.07±2.11),(13.19±2.76),and(53.19±3.17),with no statistical differences(t=1.204,0.083,and 0.056;P=0.232,0.934,and 0.955).After 30 days'intervention,the total scores of ESCA,FMA,and SF-36 in the control group were lower than those in the observation group[(130.49±4.56)vs.(133.42±3.96),(23.16±2.38)vs.(24.81±2.16),and(66.96±3.05)vs.(68.33±2.97)],with statistical differences(t=3.068,3.247,and 2.035;and P=0.003,0.002,and 0.045).Conclusions Dynamic interactive model nursing care for patients with craniocerebral injury can significantly improve their self-care ability,motor function,and quality of life.