以问题为导向的护理模式在颅内损伤患者中的应用及对患者预后转归的影响  

Application of problem-oriented nursing model in patients with intracranial injury and its impact on prognosis of patient

作　　者：付谦[1] 马金彩[1] 祁彬[1] FU Qian;MA Jincai;QI Bin(Department of Neurosurgery,Bozhou People’s Hospital,Anhui Province,Bozhou236804,China)

机构地区：[1]安徽省亳州市人民医院神经外科,安徽亳州236804

出　　处：《中国医药导报》2024年第10期151-154,共4页China Medical Herald

基　　金：安徽省卫生健康委员会科研项目(AHWJ2022c033)。

摘　　要：目的分析以问题为导向的护理模式在颅内损伤患者中的应用及对患者预后转归的影响。方法前瞻性选取2021年1月至2022年11月安徽省亳州市人民医院神经外科住院治疗的74例颅内损伤患者临床资料,按照随机数字表法将其分为对照组和观察组,各37例。对照组接受常规护理,观察组在对照组的基础上采取以问题为导向的护理模式。比较两组护理前后心理弹性水平[心理弹性量表(CD-RISC)]、创伤后应激障碍程度[创伤后应激障碍平民版量表(PCL-C)]、活动能力[功能独立性评测量表(FIM)]、生活质量[生活质量评定问卷(GQOLI-74)]、预后[格拉斯哥神经预后量表(GOS)、神经功能缺损评分标准(CSS)],并统计两组护理满意度。结果护理后,两组CD-RISC、FIM、GQOLI-74、GOS评分均高于护理前,PCL-C、CSS评分均低于护理前,且观察组CD-RISC、FIM、GQOLI-74、GOS评分均高于对照组,PCL-C、CSS评分低于对照组(P<0.05);观察组护理满意度优于对照组(P<0.05)。结论以问题为导向的护理模式可提高颅内损伤患者心理弹性,降低创伤后应激障碍程度,改善日常生活能力与生活质量,促进预后转归,且患者满意度高。Objective To analyze the application of problem-oriented nursing model in patients with intracranial injury and its impact on prognosis of patient.Methods Clinical data of 74 patients with intracranial injury hospitalized in the Department of Neurosurgery,Bozhou People’s Hospital,Anhui Province from January 2021 to November 2022 were prospectively selected.They were divided into control group and observation group,with 37 cases in each goup.The control group received routine nursing,and the observation group adopted problem-oriented nursing mode on the basis of the control group.The psychological resilience level(Connor-Davidson resilience scale,[CD-RISC]),levels of post-traumatic stress disorder[the post-traumatic stress disorder cheeklist-civilian version,PCL-C],activity ability(functional independence measure[FIM]),and the living quality(generic quality of life inventory-74[GQOLI-74]),prognosis(Glasgow outcome scale[GOS]),(China stroke scale[CSS])were compared before and after nursing,and nursing satisfaction of the two groups were analyzed.Results After nursing,the scores of CD-RISC,FIM,GQOLI-74,and GOS were higher than those before nursing,while the scores of PCL-C and CSS were lower than those before nursing,and the scores of CD-RISC,FIM,GQOLI-74,and GOS in observation group were higher than those in control group,while the scores of PCL-C and CSS were lower than those in control group(P<0.05).The nursing satisfaction was better than that of control group(P<0.05).Conclusion Problem-oriented nursing model can improve cognitive function,enhance mental resilience,reduce the degree of post-traumatic stress disorder,improve daily living ability and quality of life,promote prognosis,and patients with high satisfaction.

关 键 词：颅内损伤 以问题为导向 预后转归 

分 类 号：R473[医药卫生—护理学]