对重症颅脑外伤患者进行优质护理干预的价值体会  

Experience of High Quality Nursing Intervention for Patients with Severe Head Injury

作　　者：刘娟 区间想 陈凤玲 LIU Juan;OU Jianxiang;CHEN Fengling(Department of Neurosurgery,Jiangmen Peoples hospital,Jiangmen,Guangdong 529000)

机构地区：[1]江门市人民医院神经外科,广东江门529000

出　　处：《中国伤残医学》2023年第18期34-38,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨重症颅脑外伤患者进行优质护理干预的价值。方法:选择我院2019年8月-2020年9月收治的重症颅脑外伤患者86例,按随机数字表法分为2组,各43例。对照组实施常规护理,观察组在此基础上实施优质护理干预。比较2组神经功能、肢体功能、并发症发生情况、生活质量、护理满意度。结果:护理前,2组神经功能、肢体功能、生活质量对比,差异无统计学意义(P>0.05);观察组护理后美国国立卫生研究院卒中量表(NIHSS)评分为(12.41±2.53)分,低于对照组,Fugl-Meyer运动功能评估量表(FMA)评分为(78.15±3.27)分,高于对照组,健康调查简表(SF-36)中躯体疼痛评分为(74.37±3.51)分、躯体功能评分为(77.43±3.25)分、生理职能评分为(79.23±3.46)分、情感职能评分为(77.18±4.13)分、心理健康评分(78.34±3.33)分、生命活力评分(73.82±3.69)分、社会功能评分为(78.87±3.36)分、总体健康评分为(76.31±3.85)分,均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.65%,低于对照组的18.60%,护理满意度为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05)。结论:优质护理干预模式能够改善重症颅脑外伤患者的神经功能、肢体功能,降低并发症发生率,提高生活质量、护理满意度。Objective:To explore the value of high quality nursing intervention in patients with severe craniocerebral trauma.Methods:A total of 86 patients with severe craniocerebral trauma admitted to our hospital from August 2019 to September 2020 were divided into two groups according to random number table method,with 43 cases in each group.The neurological function,limb function,complications,quality of life and nursing satisfaction were compared between the two groups.Results:Before nursing,there was a statistically significant difference in nerve function,limb function and quality of life between the two groups(P>0.05);After nursing,the NIHSS score(12.41±2.53)of the observation group was lower than that of the control group,and the Fugl-Meyer Motor Function Assessment Scale(FMA)score(78.15±3.27)was higher than that of the control group.The body pain score(74.37±3.51),the body function score(77.43±3.25),the physiological function score(79.23±3.46),and the emotional function score(77.18±4.13)in the health survey summary(SF-36)The scores of mental health(78.34±3.33),life vitality(73.82±3.69),social function(78.87±3.36),and overall health(76.31±3.85)were significantly higher than those of the control group(P<0.05);The complication rate(4.65%)of the observation group was lower than that of the control group(18.60%),and the nursing satisfaction rate(95.35%)was higher than that of the control group(79.07%),the difference was statistically significant(P<0.05).Conclusion:The high-quality nursing intervention mode can improve the nervous function and limb function of patients with severe craniocerebral injury,reduce the incidence of complications,and improve the quality of life and nursing satisfaction.

关 键 词：重症颅脑损伤 优质护理 神经功能 肢体功能 并发症 生活质量 

分 类 号：R473[医药卫生—护理学]