基于知信行模式的康复护理在硬膜下血肿钻孔引流术后的应用价值  

Application Value of Rehabilitation Nursing Based on Knowledge Belief Practice Mode in Patients with Subdural Hematoma after Drilling and Drainage

作　　者：翁晓芳 陈丽霜 陈静[1] 吴樊 WENG Xiaofang;CHEN Lishuang;CHEN Jing;WU Fan(Fujian Medical University Union Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《中外医疗》2023年第16期149-152,共4页China & Foreign Medical Treatment

摘　　要：目的探讨基于知信行模式的康复护理在硬膜下血肿钻孔引流术后的应用价值。方法随机选取2022年1月—2023年1月于福建医科大学附属协和医院行硬膜下血肿行钻孔引流术患者90例作为研究对象,随机分为对照组、针对性康复护理组,每组45例。对照组接受常规护理,针对性康复护理组于对照组基础上开展术后基于知信行模式的康复护理。对比两组术后康复进度、生活质量。结果针对性康复护理组术后下床时间(3.21±0.76)d、拔管时间(5.78±0.96)d、术后住院时间(7.22±1.09)d均短于对照组,差异有统计学意义(t=10.737、3.342、7.322,P<0.05)。术后1周,针对性康复护理组SF-36中生理功能、生理职能、社会功能、躯体疼痛、精力、精神健康、情感职能、一般健康评分均高于对照组,差异有统计学意义(t=4.092、4.068、6.789、5.142、2.778、4.674、4.263、4.184,P<0.05)。结论基于知信行模式的康复护理应用于硬膜下血肿钻孔引流术后,可降低患者术后的不适、促进术后康复、提升生活质量。Objective To explore the application value of rehabilitation nursing based on knowledge,attitude and practice mode in patients with subdural hematoma after drilling and drainage.Methods From January 2022 to January 2023,90 patients who underwent drilling and drainage for subdural hematoma in Union Hospital affiliated to Fujian Medical University were randomly selected as the research objects.They were randomly divided into control group and targeted rehabilitation nursing group,with 45 cases in each group.The control group received routine care,while the targeted rehabilitation nursing group received postoperative rehabilitation care based on the knowledge,belief,and behavior model on the basis of the control group.Compared the postoperative rehabilitation progress and quality of life between the two groups.Results The targeted rehabilitation nursing group had shorter postoperative bedtime(3.21±0.76)d,extubation time(5.78±0.96)d,and postoperative hospital stay(7.22±1.09)d compared to the control group,the difference was statistically significant(t=10.737,3.342,7.322,P<0.05).One week after surgery,the physiological function,physiological function,social function,physical pain,energy,mental health,emotional function and general health scores in the targeted rehabilitation nursing group SF-36 were higher than those in the control group,the difference was statistically significant(t=4.092,4.068,6.789,5.142,2.778,4.674,4.263,4.184,P<0.05).Conclusion The application of rehabilitation nursing based on knowledge,attitude and practice mode in the treatment of subdural hematoma after drilling and drainage can reduce the postoperative discomfort of patients,promote postoperative rehabilitation and improve the quality of life.

关 键 词：硬膜下血肿钻孔引流术 知信行模式 康复护理 术后并发症 生活质量 

分 类 号：R47[医药卫生—护理学]