改良型防抓手套在颅脑损伤躁动患者中的应用价值  

Application Value of Modified Anti-scratch Gloves in Patients with Craniocerebral Injury and Restlessness

作　　者：赖相燕[1] 黄华春[1] LAI Xiangyan;HUANG Huachun(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《中国医学创新》2018年第29期65-68,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2015ZSF073)

摘　　要：目的:探讨改良型防抓手套在颅脑损伤躁动患者中的应用价值。方法:选取本院2016年2月-2018年1月颅脑损伤躁动患者90例作为研究对象,按照随机数字表法将其分为观察组和对照组,各45例。对照组采用常规的模式进行护理,观察组采用改良型防抓手套进行护理,比较两组护理满意度、舒适度、安全感和活动度评分,护理前后生活质量和焦虑情绪评分,以及非计划拔管、皮肤不良反应发生情况。结果:观察组颅脑损伤躁动护理满意度明显高于对照组,差异有统计学意义(x^2=11.250 0,P=0.000 8)。护理前两组生活质量及焦虑情绪评分比较,差异均无统计学意义(P>0.05);护理后,观察组生活质量及焦虑情绪评分均明显优于对照组,差异均有统计学意义(P<0.05)。护理后观察组舒适度、安全感和活动度评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组非计划拔管和皮肤不良反应发生情况均明显少于对照组,差异均有统计学意义(x^2=3.920 0、3.920 0,P=0.0477、0.0477)。结论:颅脑损伤躁动患者行改良型防抓手套护理疗效肯定,可有效减少非计划拔管发生率、皮肤不良反应发生率,改善生存质量,提高舒适度和安全感,减轻焦虑感,提高患者的满意度。Objective:To explore the application value of modified anti-scratch gloves in patients with craniocerebral injury and restlessness.Method:A total of 90 patients with craniocerebral injury and restlessness in our hospital from February 2016 to January 2018 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,45 cases in each group.The control group was treated with the usual mode of nursing,the observation group was treated with modified anti-scratch gloves nursing.The satisfaction degree,comfort,safety and activity scores,quality of life and anxiety scores before and after nursing and the occurrence of unplanned extubation and skin adverse reactions were compared between the two groups.Result:The nursing satisfaction of craniocerebral injury and restlessness in the observation group was significantly higher than that of the control group,the difference was statistically significant(χ2=11.250 0,P=0.000 8).There were no significant differences in the scores of quality of life and anxiety between the two groups before and after nursing(P>0.05).After nursing,the scores of quality of life and anxiety in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of comfort,safety and activity in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of unplanned extubation and skin adverse reactions in the observation group were significantly less than those in the control group,the differences were statistically significant(χ2=3.920 0,3.920 0,P=0.047 7,0.047 7).Conclusion:The patients with craniocerebral injury and restlessness are treated with modified antiscratch gloves.The curative effect can be effectively eliminated.It can effectively reduce the incidence of unplanned extubation and skin adverse reactions,improve the quality of life,

关 键 词：改良型防抓手套 颅脑损伤躁动患者 

分 类 号：R473.6[医药卫生—护理学]