针对性护理干预在小儿颅脑外伤抢救中的应用效果  

Application effect of targeted nursing intervention in the rescue of pediatric craniocerebral trauma

作　　者：倪佃丽 高秀梅[1] 于杰[1] NI Dianli;GAO Xiumei;YU Jie(Emergency Resuscitation Room,Tongguan Hospital of the First People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院通灌院区急诊抢救室,江苏连云港222000

出　　处：《妇儿健康导刊》2023年第6期183-185,192,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析针对性护理干预在小儿颅脑外伤抢救护理中的应用效果。方法选择2019年1月至2022年10月连云港市第一人民医院通灌院区急诊抢救室小儿急诊外科抢救治疗的110例颅脑外伤患儿,以随机抽签方式进行分组,对照组(n=55)采用常规护理干预,研究组(n=55)采用针对性护理干预,对比两组患儿的护理效果。结果研究组患儿急诊确诊时间、急诊至手术时间及住院时间均较对照组更短(P<0.05)。干预后研究组患儿美国国立卫生研究院卒中量表评分较对照组低,而其格拉斯哥昏迷评分、Fugl-Meyer评定量表评分则均较对照组更高(P<0.05)。研究组患儿并发症总发生率较对照组更低(P<0.05)。结论在小儿颅脑外伤抢救护理中应用针对性护理干预,能够有效缩短患儿急诊治疗时间,显著降低患儿神经功能损伤和并发症发生情况,提升患儿肢体运动功能,值得推广。Objective To analyze the application effect of targeted nursing intervention in rescue nursing of pediatric craniocerebral trauma.Methods A total of 110 children with craniocerebral trauma treated in Pediatric Emergency Surgery Department in the Emergency Resuscitation Room of Tongguan Hospital of the First People’s Hospital of Lianyungang from January 2019 to October 2022 were selected and grouped by random drawing,with the control group(n=55)using conventional nursing intervention and the study group(n=55)using targeted nursing intervention to compare the nursing effects of children in both groups.Results The time of emergency diagnosis,emergency to surgery and hospitalization in the study group was shorter than that in the control group(P<0.05).The National Institutes of Health stroke scale score in the study group was lower than that in the control group,the Glasgow coma scale and Fugl-Meyer assessment scale scores were higher than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion The application of targeted nursing intervention in the rescue nursing of children with craniocerebral trauma can effectively shorten the emergency treatment time,significantly reduce the neurological damage and complications of children,and improve the limb movement function of children,which is worthy of promotio n.

关 键 词：小儿颅脑外伤 抢救 针对性护理干预 神经功能 并发症 

分 类 号：R473.72[医药卫生—护理学]