开放性颅脑损伤的循证手术室护理效果研究

Study on evidence-based operating room nursing effect of open craniocerebral injury

目的探讨循证手术室护理对开放性颅脑损伤患者的实施效果,为提升开放性颅脑损伤患者的临床治疗效果提供参考。方法选取2021年2月—2022年2月滕州市中心人民医院收治的因开放性颅脑损伤行紧急手术治疗的患者104例,根据护理方法不同将入组患者分为对照组和观察组各52例。对照组实施常规手术室护理,观察组在对照组基础上实施循证手术室护理。比较两组患者的神经功能评分、感染发生率和护理质量评分。结果护理后,观察组NIHSS评分为(13.11±1.39)分,低于对照组的(18.35±3.82)分,差异有统计学意义(t=9.295,P<0.05)。观察组感染发生率为1.92%,明显低于对照组的15.38%,差异有统计学意义(χ^(2)=4.379,P<0.05)。观察组各项护理质量评分明显高于对照组,差异均有统计学意义(P<0.05)。结论对开放性颅脑损伤的患者实施循证手术室护理,提高了手术室护理质量,降低了患者感染发生率,值得临床推广应用。

Objective To explore the implementation effect of evidence-based operating room nursing on patients with open craniocerebral injury,in order to provide reference for improving clinical treatment effectiveness of patients with open craniocerebral injury.Methods A total of 104 patients admitted to Tengzhou Central People's Hospital from February 2021 to February 2022 who underwent emergency surgical treatment for open craniocerebral injury were selected.According to different nursing methods,the enrolled patients were divided into control group and observation group,with 52 cases in each group.The control group received routine operating room nursing,while the observation group received evidence-based operating room nursing on the basis of the control group.The neurological function score,incidence of infection and nursing quality score between two groups of patients were compared.Results After nursing,the NIHSS score of the observation group was(13.11±1.39)points,which was lower than that of the control group with(18.35±3.82)points,and the difference was statistically significant(t=9.295,P<0.05).The incidence of infection in the observation group was 1.92%,which was significantly lower than that in the control group with 15.38%,and the difference was statistically significant(χ^(2)=4.379,P<0.05).The various nursing quality scores of the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of evidence-based operating room nursing for patients with open craniocerebral injury had improved the quality of operating room nursing,reduced the incidence of patients'infections,which was worthy of clinical promotion and application.