图文式临床护理路径在重型颅脑损伤中的疗效及安全性  

Efficacy and safety of graphic clinical nursing pathway in the patients with severe brain injury

作　　者：张丽 张婷 吴靓靓 於舒[3] Zhang Li;Zhang Ting;Wu Liangliang;Yu Shu(Department of Surgery,Wuxi Ninth People’s Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第九人民医院外科,江苏无锡214000 [2]无锡市第九人民医院急诊科,江苏无锡214000 [3]无锡市人民医院神经外科

出　　处：《海军医学杂志》2023年第10期1091-1094,共4页Journal of Navy Medicine

摘　　要：目的研究图文式临床护理路径在重型颅脑损伤中的疗效及安全性。方法选择2019年3月至2022年3月于无锡市第九人民医院和无锡市人民医院诊治的72例重型颅脑损伤患者作为研究对象,采用数字表法随机将其分为观察组(n=37)和对照组(n=35),其中对照组给予常规护理干预,观察组给予图文式临床护理路径干预。比较2组患者疗效、并发症发生率、格拉斯哥昏迷量表(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能评定量表(FMA)评分差异。结果观察组患者急诊抢救时间、住院时间短于对照组(P<0.05),住院费用低于对照组(P<0.05)。观察组患者干预后GCS评分、FMA评分高于对照组,NIHSS评分及肺部感染、尿路感染、死亡发生率低于对照组(P<0.05)。结论图文式临床护理路径可提高重型颅脑损伤患者疗效并改善GCS、FMA及NIHSS评分,且高效安全,值得临床推广。Objective To study the curative effects and safety of graphic clinical nursing pathway in the patients with severe traumatic brain injury.Methods A total of 72 patients with severe craniocerebral injury who were diagnosed and treated in the Wuxi Ninth People’s Hospital and Wuxi People’s Hospital from March 2019 to March 2022 were selected as research subjects,and were divided into the observation group(n=37)and the control group(n=35)by random number table method.The control group was given conventional care,while the observation group received graphic nursing pathway.The differences in curative effects,complication rates,Glasgow coma scale(GCS)scores,National Institutes of Health stroke scale(NIHSS)scores and Fugl‑Meyer motor assessment scale(FMA)scores were compared between the patients of the two groups.Results The emergency care time and length of hospitalization in the patients of the observation group were significantly shorter than those in the control group(P<0.05),and the hospitalization costs of the former were significantly lower than those in the latter(P<0.05).After intervention,the GCS scores and FMA scores in the observation group were significantly higher than those in the control group,while the NIHSS scores,the rates of pulmonary infection and urinary tract infection and death rate of the former were significantly lower than those in the latter(P<0.05).Conclusion The graphic nursing pathway could significantly improve the curative effects of the patients with severe brain injury and improve the GCS,FMA and NIHSS scores,with the advantages of high efficiency and safety.For this reason,it is worth further clinical promotion.

关 键 词：重型颅脑损伤 临床监护路径 疗效 安全性 

分 类 号：R473.6[医药卫生—护理学]