标准化优质手术室护理模式在颅脑外伤中的应用效果观察

Observation of the Application Effect of Standardized High-quality Operating Room Nursing Mode in Craniocerebral Trauma

目的:探究标准化优质手术室护理模式在颅脑外伤中的应用效果。方法:88例蚌埠医科大学第一附属医院收治颅脑外伤患者入组研究,其中44例应用常规护理模式纳入UC组,44例常规护理同时应用优质手术室护理模式纳入QC组,观察两组护理效果。结果:护理干预后QC组创伤后应激障碍评分、失眠评分、神经功能缺损评分、并发症发生率、术后48h与72h疼痛评分,均低于UC组(P<0.05);术中与术后心率高于UC组(P<0.05),平均动脉压、体温高于UC组(P<0.05);手术时间、入住ICU时间、术后住院时间短于UC组(P<0.05);日常生活活动能力评分高于UC组(P<0.05)。结论:标准化优质手术室护理模式的有效应用利于患者心理应激反应与生理应激反应减轻,对患者术后疼痛程度缓解,手术时间缩短,康复进程缩短,神经功能、活动能力改善等具有积极影响。

Objective:To explore the application effect of standardized high-quality operating room nursing mode in craniocerebral trauma.Methods:A study of 88 patients with craniocerebral trauma admitted to the First Affiliated Hospital of Bengbu Medical University,among which 44 patients were included in the UC group,and 44 patients were included in the QC group with the high-quality operating room nursing mode,to observe the nursing effect of the two groups.Results:After nursing intervention,the score of post-traumatic stress disorder,insomnia score,neurological deficit score,complication rate,postoperative 48h and 72h pain score in the QC group were lower than those in the UC group(P<0.05).The heart rate during and after operation in the QC group was higher than that in the UC group(P<0.05),and the mean arterial pressure and body temperature in the QC group were higher than that in the UC group(P<0.05).Operation time,ICU time and postoperative hospitalization time in the QC group were shorter than those in the UC group(P<0.05).The score of activity of daily living ability in the QC group was higher than that in the UC group(P<0.05).Conclusion:The effective application of standardized high-quality operating room nursing mode is conducive to the alleviation of patients’psychological stress response and physiological stress response,which has a positive impact on the degree of postoperative pain relief,the shortening of operation time,the shortening of rehabilitation process,and the improvement of nerve function and activity ability.