急诊全程优化护理在急重症颅脑外伤患者中的应用  

Application of Emergency Whole Course Optimization Nursing in Patients with Severe Craniocerebral Trauma

作　　者：翁云洪 周亚梅[1] 陈妍[1] WENG Yunhong;ZHOU Yamei;CHEN Yan(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中华灾害救援医学》2024年第4期492-494,共3页Chinese Journal of Disaster Medicine

摘　　要：目的比较急诊全程优化护理在急重症颅脑外伤患者中的应用。方法入组的80例急重症颅脑外伤患者来源于2022年12月至2023年12月厦门大学附属第一医院神经外科,依据随机数字表法将患者分为两组,每组各40例。研究组采用急诊全程优化护理,对照组采用常规护理,比较两组急救指标情况,随访急重症颅脑外伤患者日常生活能力评分、不良反应发生率。结果研究组护理后住院、院外急救、院前急救时间均低于对照组,差异具有统计学意义(P<0.05);在干预前两组差异无统计学意义(P>0.05),护理后研究组日常生活能力评分高于对照组,差异具有统计学意义(P<0.05);研究组不良反应总发生率1例(2.50%)低于对照组10例(25.00%),差异具有统计学意义(P<0.05)。结论对急重症颅脑外伤患者实施急诊全程优化护理,有利于缩短院前、院内急救和住院时间,改善日常生活能力评分,降低不良反应。Objective To analyze the effect of comprehensive optimization nursing in emergency department patients with acute and severe traumatic brain injury.Methods The 80 patients with acute and severe traumatic brain injury included were from our hospital’s neurosurgery department from December 2022 to December 2023.According to different intervention methods,the patients were divided into two groups.The study group received optimized emergency care throughout the process,while the control group received routine care,with 40 patients in each group.The emergency indicators of the two groups were compared,and the daily living ability score and incidence of adverse reactions of patients with acute and severe traumatic brain injury were followed up.Results The study group’s hospitalization after nursing,as well as the time for outpatient and pre hospital emergency treatment,were lower than those of the control group,and the statistical results showed significant differences(P<0.05)while before intervention,there was no statistically significant difference between the two groups(P>0.05).After nursing,the daily living ability score of the study group was higher than that of the control group,and the statistical results showed a significant difference(P<0.05);The total incidence of adverse reactions in the study group was 1 case(2.50%),which was less than that in the control group of 10 cases(25.00%),and the statistical results showed a significant difference(P<0.05).Conclusion Implementing optimized emergency care throughout the entire process for patients with acute and severe traumatic brain injury is beneficial for shortening pre-hospital,in-hospital emergency,and hospitalization time,improving daily living ability scores,and reducing adverse reactions.

关 键 词：颅脑损伤 颅内压 护理 急救 

分 类 号：R473.6[医药卫生—护理学]