基于沟通反馈的持续改进在颅脑损伤患者康复护理中的应用效果

Effect of continuous improvement based on communication feedback in rehabilitation nursing of patients with traumatic brain injury

目的 研究基于沟通反馈的持续改进在颅脑损伤患者康复护理中的效果。方法 选择2021年1月至2023年3月安徽省亳州市人民医院130例颅内损伤患者,按随机数字表法将其分为对照组和观察组,各65例。对照组接受常规护理,观察组采取基于沟通反馈的持续改进护理干预模式。两组均护理1个月。比较两组护理前、护理1个月后心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、神经功能受损程度[美国国立卫生研究院卒中量表(NIHSS)]、活动能力[功能独立性评测量表(FIM)]、生活质量[生活质量评定问卷-74(GQOLI-74)],并比较两组护理满意度。结果 护理1个月后,两组SAS、SDS、NIHSS评分均低于护理前,GQOLI-74、FIM评分高于护理前,且观察组SAS、SDS、NIHSS评分低于对照组,GQOLI-74、FIM评分高于对照组(P<0.05);护理1个月后,观察组护理满意度高于对照组(P<0.05)。结论 基于沟通反馈的持续改进护理模式能够减轻颅脑损伤患者焦虑、抑郁情绪,加快神经功能恢复,并可促进患者活动能力、生活质量的提高,且护理满意度高,护理效果良好。

Objective To study the effect of continuous improvement based on communication feedback in rehabilitation nursing of patients with traumatic brain injury.Methods A total of 130 patients with intracranial injury in Bozhou People's Hospital,Anhui Province from January 2021 to March 2023 were selected,and they were divided into control group and observation group according to random number table method,with 65 cases in each group.The control group received routine nursing,and the observation group adopted the continuous improvement based on communication feedback nursing intervention mode.Both groups were treated for one month.The psychological status(self-rating anxiety scale [SAS],self-rating depression scale [SDS]),neurological impairment(National Institute of Health stroke scale [NIHSS]),activity ability(functional independence measure [FIM]),quality of life(generic quality of life inventory-74 [GQOLI-74]) of the two groups were compared before nursing and one month after nursing,the nursing satisfaction of the two groups was compared.Results After one month of nursing,the scores of SAS,SDS,and NIHSS were lower than those before nursing,and the scores of GQOLI-74 and FIM were higher than those before nursing,and the SAS,SDS,and NIHSS scores in observation group were lower than those in the control group,GQOLI-74 and FIM scores were higher than those in control group(P<0.05);after one month of nursing,the nursing satisfaction in observation group was higher than that in control group(P<0.05).Conclusion The continuous improvement nursing model based on communication feedback can alleviate patients' anxiety and depression,accelerate the recovery of neurologicalfunction,promotetheimprovementofpatients' activityabilityand qualityoflife,and thenursingsatisfaction ishigh,and thenursingeffectisgood.