行为目标达成度理念指导下的个性化康复护理在开颅血肿清除术患者中的应用

Application of Individualized Rehabilitation Nursing Under the Guidance of the Concept of Achievement of Behavioral Goals in Patients with Craniotomy Hematoma

目的分析和探讨行为目标达成度理念指导下的个性化康复护理在开颅血肿清除术患者中的应用。方法本研究纳入了我院181例接受颅内血肿清除手术的患者,研究时间跨度为2022年1月至2023年12月,根据患者入院时间的不同,研究对象被划分为两组:2022年1月至12月入院的90例患者,作为对照组,其接受常规护理;2023年1月至12月入院的91例患者,作为观察组,采用行为目标达成度理念指导下的个性化康复护理。对比两组护理前后的自我护理能力(ESCA)、神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、肢体功能[Fugl-Meyer运动功能量表(FMA)]及并发症发生率。结果护理后,观察组ESCA评分高于对照组(P<0.05)。观察组NIHSS评分低于对照组(P<0.05)。观察组FMA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<0.05)。结论对于开颅血肿清除术患者而言,采用行为目标达成度理念指导下的个性化康复护理不仅可以有效提高其自我护理能力,还可以减轻其神经功能缺损程度,促进其肢体功能的恢复,减少并发症的发生。

Objective To analyze and discuss the application of individualized rehabilitation nursing under the guidance of behavioral goal achievement in patients undergoing craniotomy hematoma removal.Methods This study included 181 patients who underwent intracranial hematoma removal surgery in our hospital,and the study period was from January 2022 to December 2023.The subjects were divided into two groups according to the different admission time of patients:90 patients admitted from January 2022 to December 2022,as the control group,received routine care.Of the 91 patients admitted to the hospital between January and December 2023,served as the observation group and received individualized rehabilitation care guided by the behavioral goal achievement concept.The self-care ability(ESCA),the degree of neurological impairment[National Institutes of Health Stroke Scale(NIHSS)],limb function[Fugl-Meyer Motor Function Scale(FMA)]and the incidence of complications before and after care were compared between the two groups.Results After nursing,the observation group showed higher ESCA scores compared to the control group(P<0.05).Compared with the control group,the observation group had lower NIHSS scores(P<0.05).Compared with the control group,the observation group had a higher FMA score(P<0.05).Compared with the control group,the observation group had a lower incidence of complications(P<0.05).Conclusions For patients with craniotomy hematoma removal,personalized rehabilitation nursing under the guidance of behavioral goal achievement can not only effectively improve their self-care ability,but also reduce the degree of neurological impairment,promote the recovery of limb function,and reduce the occurrence of complications.