音乐疗法联合五感促醒疗法在颅脑损伤术后昏迷患者护理中的应用

Application of Music Therapy and Five Senses Awakening Therapy in the Nursing of Postoperative Coma Patients with Traumatic Brain Injury

目的探讨颅脑损伤(TBI)术后昏迷患者应用音乐疗法联合五感促醒疗法的效果。方法选取2022年1月—2023年6月聊城市第二人民医院收治96例TBI术后昏迷患者,按照干预方法的不同将患者分为干预组和对照组,每组48例。对照组给予常规护理,干预组给予音乐疗法联合五感促醒疗法,比较两组苏醒情况、意识状态、神经功能及并发症。结果干预组开始干预至清醒时间短于对照组,苏醒率高于对照组,差异有统计学意义(P<0.05);出院时,两组格拉斯哥昏迷量表、全面无反应评分量表评分均高于入院时,且干预组高于对照组,差异有统计学意义(P<0.05);出院时,两组美国国立卫生研究院卒中量表评分均低于入院时,且干预组低于对照组,差异有统计学意义(P<0.05);干预组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论音乐疗法联合五感促醒疗法应用于TBI术后昏迷患者干预中,能够改善意识状态与神经功能,促进患者苏醒,预防并发症发生。

Objective To explore the effect of music therapy and five senses awakening therapy on postoperative coma patients with TBI.Methods A total of 96 postoperative comatose patients with TBI from January 2022 to June 2023 who were admitted in the Second People's Hospital of Liaocheng City were selected,and divided into the intervention group(n=48,music therapy and five sensory awakening therapy)and the control group(n=48,routine care)by different intervention methods.The awakening status,consciousness status,neurological function,and complications in both groups were compared.Results In comparision of the control group,the start intervening to wakefulness time of the intervention group was shorter(P<0.05),and the awakening rate was higher(P<0.05).At discharge,the GCS and FOUR scores in both groups were elevated(P<0.05),and in comparision of the control group,the intervention group was higher(P<0.05).At discharge,NIHSS scores in both groups were decreased(P<0.05),and in comparision of the control group,the intervention group was lower(P<0.05).In the incidence of complications,in comparision of the control group,the intervention group was lower(P<0.05).Conclusion The combination of music therapy and five senses awakening therapy can improve consciousness and neurological function,promote patient recovery,and prevent complications in the intervention of comatose patients after TBI surgery.