Braden评分下的针对性护理对重症脑出血术后意识障碍患者压力性损伤风险的影响  

Effect of targeted nursing under Braden score on risk of stress injury in patients with disturbance of consciousness after severe intracerebral hemorrhage surgery

作　　者：董宁宁 陈婧 向记庆 李林 Dong Ningning;Chen Jing;Xiang Jiqing;Li Lin(Department of Critical Care Medicine,363 Hospital,Chengdu 610041,China;Department of Critical Care Medicine,Chengdu Integrated TCM&Western Medicine Hospital,Chengdu 610000,China)

机构地区：[1]三六三医院重症医学科,成都610041 [2]成都市中西医结合医院重症医学科,成都610000

出　　处：《保健医学研究与实践》2023年第9期129-133,共5页Health Medicine Research and Practice

基　　金：四川省中医药管理局科学技术研究专项课题(2020LC0195)。

摘　　要：目的 探讨Braden评分下的针对性护理对重症脑出血术后意识障碍患者压力性损伤风险的影响,以期为临床治疗提供参考。方法 选取三六三医院2019年4月—2021年4月收治的88例重症脑出血术后意识障碍患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组44例。对照组患者进行常规护理干预,观察组患者在常规护理基础上采用Braden评分下的针对性护理干预。比较2组患者压力性损伤发生情况;比较2组患者护理前后格拉斯哥昏迷量表(GCS)及美国国立卫生研究院卒中量表(NIHSS)评分;比较2组患者护理满意度。结果 观察组患者压力性损伤发生率低于对照组,差异有统计学意义(P<0.05)。护理前,2组患者NIHSS、GCS评分比较,差异无统计学意义(P>0.05)。护理后,2组患者NIHSS评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理后,2组患者GCS评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度问卷中理论技能及工作专业性、工作态度及沟通方式、环境及时间分配合理性、问题解决及宣教质量评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论 Braden评分下的针对性护理能有效减少患者压力性损伤的发生,促进患者意识、神经功能的恢复,改善患者临床症状,提高护理满意度,值得临床推广应用。Objective This paper aims to investigate the effect of targeted nursing under the Braden score on the risk of stress injury in patients with disturbance of consciousness after severe intracerebral hemorrhage surgery to provide evidence for clinical treatment.Methods Eighty-eight patients with disturbance of consciousness after severe intracerebral hemorrhage surgery from April 2019 to April 2021 in the 363 Hospital were selected as the study participants.The patients were assigned to the control group and observation group by random number table,with 44 cases for each group.Patients in the control group received routine nursing intervention,and patients in the observation group targeted nursing intervention under the Braden score in addition to routine nursing.The incidence of stress injury was compared between the two groups;the Glasgow Coma Scale(GCS)and National Institutes of Health Stroke Scale(NIHSS)scores before and after nursing were compared between the groups;the degree of satisfaction with nursing was compared between the groups.Results The incidence of stress injury in the observation group was significantly lower than that in the control group(P<0.05).Before nursing,no significant difference was observed in NIHSS and GCS scores between the two groups(P>0.05).After nursing,the NIHSS score in the two groups was decreased,and the observation group was lower than the control group,with statistical significance(P<0.05);the GCS score of the two groups was increased,and the observation group was higher than the control group,with statistical significance(P<0.05).The subscale(theoretical skills and work professionalism,work attitude and communication style,rationality of setting and time allocation,problem-solving and education quality)and total scores in the questionnaire on the degree of satisfaction with nursing in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Targeted nursing under the Braden score can effectively reduce the occurrence of stress injury,

关 键 词：针对性护理 重症脑出血 压力性损伤 BRADEN评分 意识障碍 

分 类 号：R473.75[医药卫生—护理学]