以赋能理论为框架的多维护理对去骨瓣减压治疗重症颅脑损伤患者术后恢复和生活质量的影响  

Effect of Endowment Theory-Based Multi-dimension Nursing on Postoperative Recovery and Quality of Life in Patients with Severe Craniocerebral Injury Treated with Decompressive Craniectomy

作　　者：辛佳佳 闫琛[1] 窦志金[1] XIN Jiajia;YAN Chen;DOU Zhijin(Neurosurgery,Luohe Central Hospital/Luohe Medical College Affiliated Hospital,Luohe 462000,China)

机构地区：[1]漯河市中心医院/漯河医专一附院神经外科,河南漯河462000

出　　处：《河南医学研究》2023年第1期162-165,共4页Henan Medical Research

摘　　要：目的 探讨以赋能理论为框架的多维护理对去骨瓣减压治疗重症颅脑损伤患者术后恢复和生活质量的影响。方法 回顾性分析2020年4月至2022年4月在漯河市中心医院进行去骨瓣减压治疗的82例重症颅脑损伤患者,根据护理干预分组,对照组(41例)接受基础性护理干预,观察组(41例)在对照组基础上接受以赋能理论为框架的多维护理干预,比较两组患者干预前与干预后2个月白蛋白、总蛋白、微型营养评价(MNA)评分、血清肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)水平、美国国立卫生研究院卒中量表(NIHSS)与36条简明健康状况调查表(SF-36)评分、焦虑与抑郁自评量表评分。结果 干预后两组白蛋白、总蛋白、MNA评分比干预前提高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后两组血清TNF-α、IL-6水平较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后两组NIHSS评分较干预前降低,SF-36评分较干预前升高,且观察组NIHSS评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05)。干预后两组焦虑与抑郁评分较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 采用以赋能理论为框架的多维护理有利于去骨瓣减压治疗重症颅脑损伤患者术后恢复,降低患者TNF-α及IL-6水平,改善患者神经功能及生活质量,缓解患者负面情绪。Objective To investigate the effect of endowment theory-based multi-dimension nursing on postoperative recovery and quality of life in patients with severe head injury treated with decompressive craniectomy. Methods Eighty-two patients with severe craniocerebral injury who underwent decompressive craniectomy in Luohe Central Hospital from April 2020 to April 2022 were retrospectively analyzed. According to the nursing intervention group, the control group(41 cases) received basic nursing intervention, and the observation group(41 cases) received multi-dimension nursing based on the endowment theory on the basis of the control group. The albumin, total protein, mini nutritional assessment(MNA) score, serum tumor necrosis factor-α(TNF-α), interleukin-6(IL-6) levels, National Institute of Health stroke scale(NIHSS) and medical outcomes study short-form 36(SF-36) scores, and self-rating anxiety and depression scale scores were compared between the two groups before and two months after intervention. Results After intervention, the albumin, total protein and MNA scores of the two groups were higher than those before intervention, and the observation group was higher than the control group(P<0.05). After intervention, the serum TNF-α and IL-6 levels in the two groups were lower than those before intervention, and the observation group was lower than the control group(P<0.05). After intervention, NIHSS scores in the two groups were lower than those before intervention, SF-36 scores in the two groups were higher than those before intervention, and NIHSS score in the observation group was lower than that in the control group, SF-36 score in the observation group was higher than that in the control group(P<0.05). After intervention, the anxiety and depression scores of the two groups were lower than those before intervention, and the observation group was lower than the control group(P<0.05). Conclusion Decompressive craniectomy for severe craniocerebral injury in patients with multi-dimension nursing based on endowment

关 键 词：重症颅脑损伤 去骨瓣减压治疗 赋能理论 多维护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]