早期病情预警评分结合层级链式护理干预对小儿颅脑肿瘤术后压力性损伤、下肢深静脉血栓发生率及神经因子水平的影响

Effects of early warning score combined with hierarchical chain nursing intervention on the incidence of pressure injury and lower extremity deep venous thrombosis and the levels of nerve factors in children with craniocerebral tumor after operation

目的探究早期病情预警评分结合层级链式护理干预用于小儿颅脑肿瘤术后的价值。方法选择2021年2月至2022年12月收治的86例颅脑肿瘤术患儿为研究对象,以随机数字表法将其分为对照组、观察组,每组43例。对照组术后给予常规护理干预,观察组在对照组基础上实施早期病情预警评分结合层级链式护理干预。比较两组的干预效果。结果观察组患儿的压力性损伤、下肢深静脉血栓发生率低于对照组(P<0.05)。干预后,观察组患儿的神经元特异性烯醇化酶(NSE)、髓鞘碱性蛋白(MBP)水平低于对照组,脑源性神经营养因子(BDNF)水平高于对照组(P<0.05)。干预后,观察组患儿的格赛尔(Gesell)婴幼儿发展量表评分及家属的纽卡斯尔护理服务满意度量表(NSNS)评分高于对照组(P<0.05)。结论早期病情预警评分结合层级链式护理干预用于小儿颅脑肿瘤术后护理中,不仅能降低压力性损伤、下肢深静脉血栓发生率,提高家属的护理满意度,还能促进神经功能及整体康复效果提升。

Objective To explore the value of early warning score combined with hierarchical chain nursing intervention in children with craniocerebral tumor after operation.Methods A total of 86 children with craniocerebral tumor operation admitted from February 2021 to December 2022 were selected as the research objects,and the children were divided into control group and observation group by random number table method,with 43 cases in each group.The control group was given routine nursing intervention after operation,and the observation group was given early warning score combined with hierarchical chain nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The incidences of pressure injury and lower extremity deep venous thrombosis of children in the observation group were lower than those in the control group(P<0.05).After intervention,the levels of neuron-specific enolase(NSE)and myelin basic protein(MBP)of children in the observation group were lower than those in the control group,and the level of brain-derived neurotrophic factor(BDNF)was higher than that in the control group(P<0.05).After intervention,the scores of Gesell Infant Development Scale of children and Newcastle Satisfaction with Nursing Scale(NSNS)of family members in the observation group were higher than those in the control group(P<0.05).Conclusion Early warning score combined with hierarchical chain nursing intervention for children with craniocerebral tumor after operation can not only reduce the incidences of pressure injury and lower extremity deep venous thrombosis,improve the nursing satisfaction of family members,but also promote the improvement of neurological function and overall rehabilitation effect.