以患者需求为导向的延续护理干预在重型颅脑损伤患者恢复期的应用

Application of Continuous Nursing Intervention Based on Patient Needs in the Recovery Period of Patients with Severe Traumatic Brain Injury

目的:探讨重型颅脑损伤患者恢复期予以实施以患者需求为导向的延续护理干预的实践效果.方法:选取2019年11月至2022年11月本院收治的149例重型颅脑损伤患者为研究对象,根据护理方式不同,将其分为观察组(n=77,采用以患者需求为导向的延续护理干预)和对照组(n=72,采用常规护理干预).对比两组患者Barthel指数评分、遵医行为以及并发症情况.结果:干预后1、3个月时,与对照组比较,观察组Barthel指数评分更高,差异有统计学意义(P<0.05).干预后3个月时,观察组遵医率(89.61%)高于对照组(76.39%),并发症发生率(5.19%)低于对照组(15.28%),差异均有统计学意义(P<0.05).结论:在重型颅脑损伤患者恢复期予以实施以患者需求为导向的延续护理干预,可更好地提升患者生活自理能力、遵医行为及安全性,值得临床推广使用.

Objective:To explore the practical effects of implementing patient-centered continuous nursing interventions during the recovery period of patients with severe traumatic brain injury.Methods:A total of 149 patients with severe craniocerebral injury admitted to our hospital from November 2019 to November 2022 were selected,and according to the nursing methods,they were divided into the observation group(n=77,using continued nursing intervention based on patient needs)and the control group(n=72,using routine nursing intervention).The Barthel index score,compliance behavior and complications were compared between the two groups.Results:At 1 and 3 months after intervention,compared with the control group,the observation group had a higher Barthel index score,and the differences were statistically significant(P<0.05).At 3 months after intervention,the compliance rate of the observation group(89.61%)was higher than that of the control group(76.39%),and the incidence of complications in the observation group(5.19%)was lower than that in the control group(15.28%),and the differences were statistically significant(P<0.05).Conclusion:Implementing patient-centered continuous nursing interventions during the recovery period of patients with severe traumatic brain injury can better enhance their self-care ability,compliance behavior,and safety,and is worthy of clinical promotion and use.