保护性约束路径对重症颅脑损伤术后躁动患者镇静评分及生活质量的影响  

Effect of protective restraint pathway on sedation score and quality of life in patients with agitation after severe craniocerebral injury

作　　者：陈雅卓 王艳玲[2] 董小芳 CHEN Yazhuo;WANG Yanling(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Zhongyuan University of Technology,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052 [2]中原工学院,河南郑州450000

出　　处：《中国实用神经疾病杂志》2023年第11期1424-1427,共4页Chinese Journal of Practical Nervous Diseases

基　　金：河南省高等学校重点科研项目计划(编号:22A320023)。

摘　　要：目的探讨保护性约束路径对重症颅脑损伤术后躁动患者镇静评分及生活质量的影响。方法选取郑州大学第一附属医院2021-01—2023-01收治的重症颅脑损伤术后躁动患者50例,分为对照组和观察组各25例,对照组患者实施常规护理干预,观察组患者联合实施保护性约束路径护理干预。基于Ricker镇静-躁动量表评定2组干预前后镇静评分,基于SF-36调查量表,评定2组躯体功能、社会功能、总体健康等生活质量评分,比较2组护理满意度。结果干预前对照组与观察组镇静评分分别为(5.83±0.37)分、(5.87±0.39)分,差异无统计学意义(P>0.05),干预后观察组镇静评分为(3.18±0.16)分,低于对照组的(4.89±0.24)分,组间比较有统计学差异(P<0.001)。干预前对照组与观察组生活质量评分中躯体功能评分[(45.83±2.37)分比(45.97±2.49)分]、社会功能评分[(37.16±5.18)分比(36.89±5.20)分]、总体健康评分[(42.71±4.62)分比(43.15±4.58)分]比较无统计学差异(P>0.05),干预后观察组躯体功能评分、社会功能评分、总体健康评分分别为(87.61±4.57)分、(83.74±4.13)分、(85.92±4.35)分,均高于对照组[分别为(76.42±3.25)分、(71.28±3.02)分、(74.63±3.19)分],组间比较有统计学差异(P<0.001)。观察组患者护理满意度(100.00%)高于对照组(80.00%),组间比较差异有统计学意义(P<0.001)。结论对重症颅脑损伤术后躁动患者实施保护性约束路径护理干预,可有效改善镇静评分,提高患者生活质量。Objective To explore the effect of protective restraint pathway on sedation score and quality of life in patients with agitation after severe craniocerebral injury.Methods Fifty patients with postoperative restlessness after severe head injury admitted to the First Affiliated Hospital of Zhengzhou University from January 2021 to January 2023 were randomly divided into control group(25 cases)and observation group(25 cases).The control group received routine nursing intervention,while the observation group received protective constraint pathway nursing intervention.The sedation scores of the two groups before and after intervention were assessed based on the Ricker sedation-agitation scale.The scores of physical function,social function and general health quality of life of the two groups were assessed based on the SF-36 survey scale,and the nursing satisfaction of the two groups was compared.Results Before intervention,the sedation scores of control group and observation group were(5.83±0.37)points and(5.87±0.39)points,respectively,with no statistical significance(P>0.05).After intervention,the sedation scores of observation group were(3.18±0.16)points,which were lower than those of control group(4.89±0.24)points.There was statistical difference between both groups(P<0.001).Before intervention,the quality of life score of the control group and the observation group including physical function score[(45.83±2.37)points vs(45.97±2.49)points],social function score[(37.16±5.18)points vs(36.89±5.20)points]and general health score[(42.71±4.62)points vs(43.15±4.5)points]were not significantly different(P>0.05).After intervention,the scores of physical function,social function and general health in the observation group were(87.61±4.57)points,(83.74±4.13)points and(85.92±4.35)points,respectively,which were higher than the control group[(76.42±3.25)points,(71.28±3.02)points,(74.63±3.19)points,respectively],and there were statistical differences between both groups(P<0.001).The nursing satisfaction of patient

关 键 词：重症颅脑损伤 躁动 保护性约束路径 镇静评分 生活质量评分 

分 类 号：R473.74[医药卫生—护理学]