出 处:《中国医药指南》2023年第8期14-17,共4页Guide of China Medicine
摘 要:目的探究神经外科重症监护护理过程中对于人性化管理的应用效果。方法选择医院神经外科重症监护室2021年1月至2022年1月收治的100例重症患者为研究对象,采用计算机分组法将患者均分为研究组与对照组,各50例。对照组采用常规护理管理,研究组采用人性化管理,对比两组护理满意度、情绪状态、生活质量、睡眠质量、护理质量、不良事件发生率。结果研究组总满意度为94.00%,高于对照组的76.00%(χ^(2)=6.352,P=0.012);护理前,两组SAS评分,SDS评分差异无统计学意义(P>0.05),护理后,研究组SAS评分,SDS评分低于对照组(P<0.05);护理前,研究组躯体功能、社会功能、心理功能、物质生活维度评分与对照组比较差异无统计学意义(P>0.05),护理后,研究组躯体功能、社会功能、心理功能、物质生活维度评分高于对照组(P<0.05);研究组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能评分低于对照组(P<0.05);研究组护理质量评分高于对照组(P<0.05);研究组并发症发生率为2.00%,低于对照组的14.00%(χ^(2)=4.891,P=0.027)。结论将人性化管理应用于神经外科重症监护患者护理过程中,能够有效改善患者的不良情绪,改善患者机体功能,提高患者睡眠质量以及护理质量,降低患者疾病治疗过程中并发症的发生率,利于患者疾病预后。Objective To explore the effect of humanistic management in the process of intensive care nursing in neurosurgery.Methods A total of 100 critically ill patients admitted to the neurosurgery intensive care unit of the hospital from January 2021 to January 2022 were selected as the study objects.The patients were divided into study group and control group by computer grouping method,with 50 patients in each group.The control group adopted conventional nursing management,while the research group adopted humanistic management.The two groups were compared in terms of nursing satisfaction,emotional state,quality of life,quality of sleep,quality of care,and incidence of adverse events.Results The total satisfaction of the study group was 94.00%higher than 76.00%of the control group(χ^(2)=6.352,P=0.012).Before nursing,the difference of SAS score and SDS score between the two groups was negligible(P>0.05).After nursing,the SAS score and SDS score in the study group were lower than those in the control group(P<0.05).Before nursing,the scores of physical function,social function,psychological function and material life in the study group were negligible compared with those in the control group(P>0.05).After nursing,the scores of physical function,social function,psychological function and material life in the study group were higher than those in the control group(P<0.05).The scores of sleep quality,sleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime function in the study group were lower than those in the control group(P<0.05).The nursing quality score of the study group was higher than that of the control group(P<0.05).The incidence of complications in the study group was 2.00%lower than 14.00%in the control group(χ^(2)=4.891,P=0.027).Conclusion The application of humanistic management in the nursing process of neurosurgery intensive care patients can effectively reduce patients'bad emotions,improve patients'body functions,improve patients'sleep quality and nursing quality,reduce the occurre
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