重症监护室优质护理预防颅脑外伤术后感染的效果及对患者认知和肢体功能恢复的影响  

The Effect of High-Quality Care in the Intensive Care Unit on Preventing Postoperative in Fection After Traumatic Brain Injury and Its Impact on Patients' Cognitive and Limb Function Recovery

作　　者：郑爽 ZHENG Shuang(Intensive Care Unit,Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院重症监护室,辽阳111000

出　　处：《中国医药指南》2024年第3期159-161,共3页Guide of China Medicine

摘　　要：目的 探讨重症监护室优质护理预防颅脑外伤术后感染的效果及对患者认知和肢体功能恢复的影响。方法 选择2020年12月至2022年12月我院收治86例颅脑损伤患者,根据患者护理方式不同,将其分为试验组及对照组,各43例。对照组患者给予常规护理干预,试验组患者接受重症监护室优质护理,比较两组患者术后感染发生率、认知功能及肢体功能恢复情况,其中认知功能以简易精神状态(MMSE)量表进行评价,干预前后两组患者的肢体功能采用Fugl-Meyer(FMA)运动功能量表进行评价。结果 干预后,试验组患者ICU入住时间、总住院时间均比对照组短,且术后感染率、家属投诉率均低于对照组,P <0.05。干预前,两组患者MMSE及FMA评分对比,未见显著差异,P> 0.05;经干预后,两组患者MMSE及FMA评分均升高,而试验组升高幅度大于对照组,P <0.05。结论 在颅脑外伤手术患者中实施重症监护室优质护理,可有效减少术后感染的发生,并能有效改善患者的认知功能及肢体功能。Objective To explore the effectiveness of high-quality care in the intensive care unit in preventing postoperative infection after craniocerebral injury and its impact on patients'cognitive and limb function recovery.Methods Eighty-six patients with craniocerebral injury admitted to our hospital from December 2020 to December 2022 were selected and divided into an experimental group and a control group,with 43 patients in each group,based on different nursing methods.The control group patients received routine nursing intervention,while the experimental group patients received high-quality care in the intensive care unit.The incidence of postoperative infection,cognitive function,and limb function recovery of the two groups of patients were compared.Cognitive function was evaluated using the Minimum Mental State Examination(MMSE)scale,and limb function was evaluated using the Fugl Meyer(FMA)motor function scale before and after the intervention.Results After nursing intervention,the ICU stay time and total hospitalization time of the experimental group patients were shorter than those of the control group,and the postoperative infection rate and family complaint rate were lower than those of the control group(P<0.05).Before nursing intervention,there was no significant difference in MMSE and FMA scores between the two groups of patients,with P>0.05;After nursing intervention,the MMSE and FMA scores of both groups of patients were increased,while the increase in the experimental group was greater than that in the control group,with P<0.05 for both groups.Conclusions Implementing high-quality care in the intensive care unit for patients undergoing craniocerebral trauma surgery can effectively reduce the occurrence of postoperative infections and improve their cognitive and limb functions.

关 键 词：颅脑外伤 重症监护室优质护理 术后感染 认知功能 肢体功能 

分 类 号：R651.15[医药卫生—外科学] R473.6[医药卫生—临床医学]