综合护理干预在外伤性颅内血肿围手术期的应用效果  

Application of Comprehensive Nursing Interventi on in the Perioperative Period of Traumatic Intracranial Hematoma

作　　者：朱先花 廖燕 黄琳 ZHU Xianhua;LIAO Yan;HUANG Lin(Jiujiang Third People's Hospital,Jiujiang 332000,China)

机构地区：[1]九江市第三人民医院,江西九江332000

出　　处：《中国医药指南》2022年第17期38-41,共4页Guide of China Medicine

摘　　要：目的探讨综合护理干预用于外伤性颅内血肿围手术期的价值。方法选取2018年10月至2021年9月本科接诊的外伤性颅内血肿病患72例,均予以手术治疗。随机均分为两组。研究组采取综合护理干预,对照组行常规护理。对比两组的美国国立卫生院卒中量表(NIHSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、Barthel指数、Fugl-Meyer运动功能评分量表(FMA)评分、住院时间、满意度、并发症发生率。结果研究组并发症发生率为2.78%,比对照组的19.44%低,P<0.05。研究组住院时间为(7.46±1.58)d,比对照组的(11.59±2.34)d短,P<0.05。研究组干预后SDS和SAS评分分别为(36.51±3.24)、(37.84±3.94)分,比对照组的(45.28±3.97)、(46.54±4.12)分低,P<0.05。研究组出院时NIHSS评分为(12.51±1.63)分,比对照组的(16.89±1.97)分低,P<0.05。研究组出院时的Barthel指数为(86.52±3.18)分,比对照组的(79.22±4.65)分高,P<0.05。研究组干预后FMA评分为(79.42±4.16)分,比对照组的(70.36±4.58)分高,P<0.05。研究组满意度为97.22%,比对照组80.56%高,P<0.05。结论于外伤性颅内血肿围手术期中应用综合护理干预,利于负性情绪的缓解,神经功能与肢体功能的恢复,住院时间的缩短,并发症的预防,预后的改善及满意度的提升。Objective To study the value of comprehensive nursing intervention for the perioperative period of traumatic intracranial hematoma.Methods From October 2018 to September 2021,72 patients with traumatic intracranial hematoma were enrolled.Random average was divided into 2 groups.The study group took comprehensive nursing intervention,and the control group underwent routine care.The National Institutes of Health Stroke Scale(NIHSS)score,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,Barthel index,and Fugl-Meyer motor function scale(FMA)score,length of hospital stay,satisfaction,complication rate were compared between the two groups.Results The incidence of complications in the study group was 2.78%,lower than 19.44% in the control group,P<0.05.The length of stay in the study group was(7.46±1.58)d,shorter than(11.59±2.34)d in the control group,P<0.05.The SDS and SAS scores in the study group were(36.51±3.24)and(37.84±3.94)scores,lower than(45.28±3.97)and(46.54±4.12)scores in the control group,P<0.05.The NIHSS score in the study group was(12.51±1.63),lower than(16.89±1.97)in the control group,P<0.05.The Barthel index in the study group was(86.52±3.18),higher than(79.22±4.65)in the control group,P<0.05.The FMA score of the study group was(79.42±4.16)after intervention,which was higher than(70.36±4.58)of the control group,P<0.05.The satisfaction of the study group was 97.22%,higher than 80.56% of the control group,P<0.05.Conclusion Comprehensive nursing intervention in the perioperative period of traumatic intracranial hematoma is beneficial to the relief of negative emotions,the recovery of nerve and limb functions,the shortening of hospital stay,the prevention of complications,the improvement of prognosis,and the improvement of satisfaction.

关 键 词：外伤性颅内血肿 并发症 综合护理干预 围手术期 

分 类 号：R473.74[医药卫生—护理学] R749.11[医药卫生—临床医学]