医护一体化护理干预在早期微创钻孔引流术治疗硬膜外血肿中的应用效果分析  

Analysis of the Application Effect of Medical and Nursing Integrated Nursing Intervention in the Treatment of Epidural Hematoma with Early Minimally Invasive Drilling and Drainage

作　　者：郭磊 GUO Lei(Department of Respiratory and Critical Care Medicine,Zhumadian Central Hospital,Zhumadian,Henan,463003,China)

机构地区：[1]驻马店市中心医院呼吸与危重症医学科,河南驻马店463003

出　　处：《黑龙江医学》2022年第22期2805-2807,共3页Heilongjiang Medical Journal

摘　　要：目的:探析早期微创钻孔引流术治疗硬膜外血肿(EH)过程中应用医护一体化护理干预的应用效果。方法:选取2019年10月—2021年4月驻马店市中心医院神经外科收治的110例EH患者作为研究对象,根据护理方案不同将患者分为对照组与观察组,每组各55例。对照组实施标准围手术期护理,观察组实施基于医护一体化理念下的围手术期护理。比较两组患者临床护理相关指标、围手术期负性情绪评分[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、护理风险发生率、护理满意度。结果:观察组引流时间、抗生素用药时间及住院时间均明显少于对照组,差异有统计学意义(t=15.002、5.000、6.049,P<0.05)。干预前,两组患者SAS、SDS评分比较,差异无统计学意义(t=0.082、0.089,P>0.05);干预后,两组患者SAS、SDS评分均明显低于干预前,且观察组明显低于对照组,差异有统计学意义(t=14.908、12.812,P<0.05)。两组患者护理风险发生率比较,观察组明显低于对照组,差异有统计学意义(χ^(2)=4.853,P<0.05)。两组患者护理满意度比较,观察组明显高于对照组,差异有统计学意义(χ^(2)=5.213,P<0.05)。结论:早期微创钻孔引流术治疗硬膜外血肿过程中应用医护一体化护理干预,可有效改善患者围手术期负性情绪,优化康复流程及护理指标,降低护理风险,提高护理满意度。Objective:To explore the application effect of medical and nursing integrated nursing intervention in the treatment of epidural hematoma(EH)by early minimally invasive drilling and drainage.Methods:A total of 110 EH patients who visited the hospital from October 2019 to April 2021 were selected as the research objects,and the patients were divided into control group and observation group according to different nursing plans,with 55 cases in each group.The control group received standard perioperative nursing,while the observation group received perioperative nursing based on the concept of medical and nursing integration.The clinical nursing-related indicators,perioperative negative emotion scores([Self-rating anxiety scale[SAS]score,self-rating depression scale[SDS]score),nursing risk incidence and nursing satisfaction were compared between the two groups.Results:The drainage time,antibiotic administration time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(t=15.002,5.000,6.049,P<0.05).Before intervention,there was no significant difference in SAS and SDS scores between the two groups(t=0.082,0.089,P>0.05).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before intervention,and the observation group was lower than the control group,and the difference was statistically significant(t=14.908,12.812,P<0.05).The incidence of nursing risk in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.853,P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=5.213,P<0.05).Conclusion:The application of medical and nursing integrated nursing intervention in the treatment of epidural hematoma with early minimally invasive drilling and drainage can effectively improve the negative

关 键 词：医护一体化护理 早期微创钻孔引流术 硬膜外血肿 应用效果 

分 类 号：R473.6[医药卫生—护理学]