手术室护理对颅脑损伤患者术后康复及院内感染发生率的影响  

Influence of Nursing in Operating Room on the Incidence of Postoperative Rehabilitation and Hospitalization of Patients with Craniocerebral Injury

作　　者：张帆 ZHANG Fan(Department of Operating Room,Anshan Central Hospital,Anshan 114000,China)

机构地区：[1]鞍山市中心医院手术室,辽宁鞍山114000

出　　处：《中国医药指南》2022年第23期139-141,共3页Guide of China Medicine

摘　　要：目的将手术室护理应用于颅脑损伤患者中,分析其对患者术后康复及院内感染发生率的影响。方法选取我院收入的88例颅脑损伤患者,并分为对照组(采用传统护理)和观察组(采用手术室护理),对比两种护理模式下患者的手术数据(SAS评分、手术时间、康复时间、住院时间),并发症(切口感染、泌尿系统感染、呼吸道感染)发生率、生活质量(情绪功能、躯体功能、角色功能、社会功能、认知功能、总体生存质量)、临床数据(神经功能缺损评分、GCS评分、Barthel指数评分)。结果就SAS评分、手术时间以及康复时间而言,观察组患者均明显优于对照组,差异有统计学意义,t=14.264,7.142,9.547,P<0.01。就院内感染发生率而言,观察组为6.82%,明显低于对照组的29.55%,差异有统计学意义,P<0.05。就护理后两组患者各项生活质量评分而言,观察组明显高于对照组,差异有统计学意义,P<0.01。就神经功能缺损评分、GCS评分、Barthel指数评分而言,观察组患者均明显优于对照组,差异有统计学意义,神经功能缺损评分:t=25.355,P=0.000;GCS评分:t=8.328,P=0.000;Barthel指数评分:t=4.857,P=0.000。结论将手术室护理应用于颅脑损伤患者中的效果确切,能够大幅降低院内感染发生率,对于促进患者术后康复以及改善生活质量均具有十分重要的作用,临床应用价值显著。Objective To apply operating room nursing to patients with craniocerebral injury and analyze its influence on the incidence of postoperative rehabilitation and hospitalization.Methods Select 88 patients with craniocerebral injury in our hospital,and divide them into a reference group(adopting traditional nursing)and an observation group(adopting operating room nursing),and compare the surgical data(SAS score,operation time)of the patients under the two nursing modes,recovery time,hospital stay,complication rate(incision infection,urinary system infection,respiratory infection),quality of life(emotional function,physical function,role function,social function,cognitive function,overall quality of life),clinical data(neurological impairment score,GCS score,Barthel index score).Results In terms of SAS score,operation time and recovery time,the observation group was significantly better than the reference group,the difference was statistically significant,t=14.264,7.142,9.547,P<0.01.In terms of the incidence of nosocomial infection,the observation group was 6.82%,which was significantly lower than the reference group's 29.55%,the difference was statistically significant,P<0.05.In terms of the quality of life scores of the two groups of patients after nursing,the observation group was significantly higher than the reference group,the difference was statistically significant,P<0.01.In terms of neurological deficit score,GCS score,and Barthel index score,the observation group was significantly better than the reference group,the difference was statistically significant,the neurological deficit score,t=25.355,P=0.000;GCS score:t=8.328,P=0.000;Barthel index score:t=4.857,P=0.000.Conclusion The effect of operating room nursing in patients with craniocerebral injury is definite.It can greatly reduce the incidence of hospitalization.It plays a very important role in promoting postoperative recovery and improving the quality of life of patients.The clinical application value is significant.

关 键 词：颅脑损伤 手术室护理 手术治疗 术后康复 院内感染 生活质量 

分 类 号：R473.6[医药卫生—护理学] R651.15[医药卫生—临床医学]