综合护理干预对重症脑外伤术后昏迷患者的影响

Effect of Comprehensive Nursing Intervention on Patients with Postoperative Coma after Critical Traumatic Brain Injury

目的:分析综合护理干预对重症脑外伤术后昏迷患者的影响。方法:采用随机数字表法将2021年1月—2023年8月于滨州医学院附属医院进行治疗的74例重症脑外伤术后昏迷患者分为对照组(37例,采用常规护理)和观察组(37例,常规护理联合综合护理干预)。对比两组术后压力性损伤发生率、格拉斯哥昏迷评分(GCS评分)及并发症发生率。结果:观察组术后压力性损伤发生率低于对照组(P<0.001)。两组护理后GCS评分高于护理前,观察组GCS评分高于对照组(P<0.05)。观察组并发症发生率低于对照组(P=0.010)。结论:综合护理干预能够有效预防重症脑外伤术后昏迷患者压力性损伤,并且可以降低昏迷程度,减少并发症。

Objective:To analyze the effect of comprehensive nursing intervention on patients with postoperative coma after critical traumatic brain injury.Methods:Seventy-four patients with postoperative coma after critical traumatic brain injury admitted to the Affiliated Hospital of Binzhou Medical College from January 2021 to August 2023 were divided into the control group(37 cases,routine nursing)and the observation group(37 cases,routine nursing combined with comprehensive nursing intervention)using the method of randomized numerical table.Compared the incidence of postoperative stress injury,Glasgow Coma Scale(GCS)score and complication rate of the two groups.Results:The incidence rate of postoperative stress injury in the observation group was lower than that in the control group(P<0.001).The GCS score of the two groups after nursing was higher than that before nursing,and the GCS score of the observation group was higher than the control group(P<0.05).The incidence rate of complications was lower than that of the control group in the observation group(P=0.010).Conclusion:Comprehensive nursing intervention can effectively prevent pressure injury in comatose patients after critical traumatic brain injury,and can reduce the degree of coma and complications.