脑外伤患者术后废用综合征危险因素及护理对策  

Risk factors and nursing countermeasures of disuse syndrome in patients with traumatic brain injury

作　　者：曾双云 卿周明 周雅裴 张笔墨 Zeng Shuangyun;Qing Zhouming;Zhou Yapei;Zhang Bimo(Surgical,Sichuan Forestry Central Hospital,Chengdu 610000,China)

机构地区：[1]四川省林业中心医院外三科,成都610000

出　　处：《国际护理学杂志》2020年第17期3119-3122,共4页international journal of nursing

摘　　要：目的:分析脑外伤患者术后发生废用综合征的危险因素,并探讨相应的护理对策。方法:选择四川省林业中心医院收治的100例脑外伤手术患者(2017年3月至2019年2月)开展回顾性研究,统计脑外伤患者术后废用综合征的发生情况。根据患者术后是否发生废用综合征将其分为观察组(术后发生废用综合征)、对照组(术后未发生废用综合征),比较两组临床资料,对导致脑外伤患者术后发生废用综合征的危险因素进行单因素分析、多因素Logistic线性回归分析。结果:100例脑外伤患者中,废用综合征30例患者,废用综合征发生率30.00%。在单因素分析中,两组性别、年龄方面比较差异无统计学意义(P>0.05),两组运动神经受损、感觉神经受损、制动时间、术后焦虑评分、术后抑郁评分、康复依从性等方面比较差异均有统计学意义(均P<0.05);经多因素Logistic线性回归分析,运动神经受损、感觉神经受损、制动时间、术后焦虑评分、术后抑郁评分、康复依从性是导致脑外伤患者术后发生废用综合征的危险因素。结论:脑外伤患者术后受到运动神经受损、感觉神经受损、制动时间、术后焦虑评分、术后抑郁评分、康复依从性等危险因素的影响,易发生废用综合征,神经外科应根据脑外伤患者术后废用综合征的危险因素实施针对性护理干预。Objective:To analyze the risk factors of disuse syndrome in patients with traumatic brain injury,and discuss the corresponding nursing countermeasures.Methods:A retrospective study was conducted on 100 patients admitted to the Forestry Central Hospital of Sichuan Province(From March 2017 to February 2019)who had undergone brain trauma surgery,and the incidence of postoperative disuse syndrome in patients with brain trauma was counted.According to the occurrence of postoperative disuse syndrome,the patients were divided into observation group(postoperative disuse syndrome occurred)and control group(there was no disuse suyndrome after operation).The clinical data of the two groups were compared,and the risk factors of postoperative disuse syndrome of patients with brain trauma were analyzed by single factor analysis and multi-factor Logistic linear regression analysis.Results:Among the 100 patients with traumatic brain injury,30 patients had disuse syndrome,and the incidence of disuse syndrome was 30.00%.In univariate analysis,there was no statistically significant difference in gender and age between the two groups(P>0.05).There were statistically significant differences in motor nerve injury,sensory nerve injury,braking time,postoperative anxiety score,postoperative depression score,and rehabilitation compliance between the two groups(P<0.05).According to multi-factor Logistic linear regression analysis,motor nerve injury,sensory nerve injury,braking time,postoperative anxiety score,postoperative depression score and rehabilitation compliance were risk factors for postoperative disuse syndrome in patients with traumatic brain injury.Conclusions:After operation,patients with traumatic brain injury are affected by motor nerve injury,sensory nerve injury,braking time,postoperative anxiety score,postoperative depression score,rehabilitation compliance and other risk factors,so disuse syndrome is easy to occur.Neurosurgery should implement targeted nursing intervention according to the risk factors of disuse syndrome

关 键 词：脑外伤 废用综合征 护理 

分 类 号：R473.6[医药卫生—护理学]