护士主导的早期综合康复在多发伤患者中的应用效果  

Application eff ect of early comprehensive rehabilitation guided by nurses in patients with multiple injuries

作　　者：张小红[1] 王莎[1] 肖涛[1] 孙艳婷 黄珊 刘怀政[1] 郭美英[1] ZHANG Xiaohong;WANG Sha;XIAO Tao;SUN Yanting;HUANG Shan;LIU Huaizheng;GUO Meiying(The Third Xiangya Hospital of Central South University,Changsha,410013,China)

机构地区：[1]中南大学湘雅三医院,湖南省长沙市410013

出　　处：《护理实践与研究》2022年第24期3649-3654,共6页Nursing Practice and Research

基　　金：长沙市2020年科技计划项目(编号:kq2004145)。

摘　　要：目的将护士主导的早期综合康复应用于多发伤患者的护理中,探讨其应用效果,旨在提高多发伤患者的康复效果。方法以EICU收治的多发伤患者为研究对象,将2020年8—12月收治的30例多发伤患者作为对照组,由康复师实施早期康复;将2021年1—5月收治的39例多发伤患者作为观察组实施护士主导、医生-护士-康复师联合实施的早期综合康复。所有患者出科后1、3、6个月进行随访。比较实施早期综合康复前后两组患者的日常生活能力(ADL)、焦虑自评量表(SAS)评分以及患者的住院时间、满意度,并分析两组患者不同时间点ADL,SAS评分标情况。结果两组患者不同时间点ADL评分比较,组间、不同时间点、组间与不同时间点交互差异均有统计学意义(P<0.05)。两组患者SAS评分比较,组间、不同时间点、组间与不同时间点交互差异均有统计学意义(P<0.05)。观察组患者的EICU住院时间短于对照组,满意度评分高于对照组(P<0.05)。结论护士主导的早期综合康复能够改善多发伤患者的生活自理能力、降低患者的焦虑水平、缩短多发伤患者EICU住院时间以及提高患者满意度。Objective To explore the eff ect of its application in order to improve the rehabilitation eff ect of patients with multiple injuries by applying the early comprehensive rehabilitation led by nurses to the nursing of patients with multiple injuries.Methods The patients with multiple injuries admitted to EICU were taken as the research object,and 30 patients with multiple injuries admitted from August to December 2020 were taken as the control group,and early rehabilitation was carried out by rehabilitation teachers;39 patients with multiple injuries admitted from January to May 2021 were taken as the observation group to implement early comprehensive rehabilitation led by nurses and jointly implemented by doctors,nurses and rehabilitation specialists.All patients were followed up 1,3 and 6 months after discharge.Compare the daily living ability(ADL),self-rating anxiety scale(SAS)scores,hospitalization time and satisfaction of the two groups of patients before and after the implementation of early comprehensive rehabilitation,and analyze the ADL and SAS scoses of the two groups ofpatients at diff erent time points.Results Compared the ADL scores of the two groups at diff erent time points,there were signifi cant diff erences in the interaction between groups,at diff erent time points,between groups and at diff erent time points(P<0.05).Compared the SAS scores of the two groups,there were significant differences in the interaction between groups,at different time points,between groups and at different time points(P<0.05).The EICU hospitalization in the observation group was shorter than that in the control group,and the satisfaction score was higher than the control group(P<0.05).Conclusion The early comprehensive rehabilitation led by nurses can improve the self-care ability of patients with multiple injuries,reduce their anxiety level,shorten the length of stay in EICU and improve their satisfaction.

关 键 词：康复护理 多发伤 自理能力 护士主导 焦虑 满意度 

分 类 号：R473.6[医药卫生—护理学]