感知唤醒干预对ICU脑性昏迷患者觉醒意识和神经功能的影响  

Effects of perception wake-up intervention nursing on awakening consciousness and neurological function in ICU patients with cerebral coma

作　　者：刘杰[1] 成晶晶[1] 姜亦伦 Liu Jie;Cheng Jingjing;Jiang Yilun(Intensive Care Unit,Jiangsu Province Hospital of Integration of Chinese and Western Medicine,210028,China;Zhongda Hospital Southest University Wuxi Branch,214100,China)

机构地区：[1]江苏省中西医结合医院重症监护室,南京210028 [2]东南大学附属中大医院无锡分院,无锡214100

出　　处：《国际护理学杂志》2022年第5期847-850,共4页international journal of nursing

基　　金：江苏省卫生健康委科研项目课题编号(Z2019047)。

摘　　要：目的探讨重症监护室脑性昏迷患者使用感知唤醒干预对其觉醒意识和神经功能的影响。方法收集该院重症监护室就诊的114例脑性昏迷患者,将其分为观察组57例与对照组57例,对照组实施常规护理,观察组使用常规护理联合感知唤醒干预护理,对两组干预前后的意识障碍评分、神经功能缺损评分进行比较,并对两组干预后的意识恢复效果进行比较。结果两组患者干预2 w和干预4 w后的GCS评分高于干预前,NIHSS评分低于干预前,且观察组干预2 w、4 w后的GCS评分高于对照组,NIHSS评分均低于对照组,且干预4 w.后观察组的总有效率(86.0%)高于对照组(61.4%),差异均具有统计学意义(P<0.05)。结论感知唤醒干预护理可以提高ICU脑性昏迷患者的觉醒意识,加快神经功能恢复,改善预后。Objective To explore the efet of perception wake-up intervention nursing on awakening con-sciousness and neurological function in ICU patients with cerebral coma.Methods A total of 114 patients with cerebral coma admitted to intensive care unit of this hospital were divided into observation group and control group,57 cases of each group.The control group received routine nursing,while the observation group received routine nursing combined with preception wake-up intervention nursing.The scores of consciousness disturbance and neurological function defect were compared between the two groups before and after intervention,and the effect of consciousness recovery after inter-vention was compared between the two groups.Results The Glasgow Coma Scale(GCS)score of 2 weeks and 4 weeks after intervention was higher than that before intervention,and National Institute of Health Stroke Scale(NIH-SS)score was lower than that before intervention.The GCS score of the observation group was higher than that of the control group,and NIHSS score was lower than that of the control group.The total effective rate of the observation group(86.0%)was higher than that of the control group(61.4%).The differences were statistically significant(P<0.05).Conclusions Perception wake-up interventions can significantly increase awakening consciousness,promote neurologi-cal recovery and improve prognosis of patients with cerebral coma in ICU.

关 键 词：感知唤醒干预 脑性昏迷 觉醒意识 神经功能 

分 类 号：R472.2[医药卫生—急诊医学]