链式护理干预在重型颅脑创伤患者围术期中的应用效果  

Application Effect of Chain Nursing Intervention in Perioperative Period of Patients with Severe Traumatic Brain Injury

作　　者：王雪梅 WANG Xue-mei(Quality Control Department of Nancheng County People's Hospital,Nancheng 344700,Jiangxi,China)

机构地区：[1]南城县人民医院质控科,江西南城344700

出　　处：《医学信息》2024年第15期158-161,共4页Journal of Medical Information

摘　　要：目的研究链式护理干预在重型颅脑创伤(STBI)患者围术期中的应用效果。方法以2021年1月-2023年1月南城县人民医院收治的60例STBI患者为研究对象,经随机数字表法分为对照组(30例)和观察组(30例)。对照组给予常规围术期护理,观察组则应用链式护理干预。比较两组围术期并发症、美国国立卫生院神经功能缺损评分(NIHSS)评分、格拉斯哥昏迷量表(GCS)评分、Fugl-Meyer运动功能评估量表(FMAS)评分、微型营养评估量表(MNA)评分、Barthel指数、Karnofsky健康状况量表(KPS)评分。结果观察组围术期并发症发生率小于对照组(P<0.05);两组干预后NIHSS评分小于干预前,GCS评分高于干预前,且观察组NIHSS评分小于对照组,GCS评分高于对照组(P<0.05);两组干预后FMAS、MNA评分高于干预前,且观察组FMAS、MNA评分高于对照组(P<0.05);两组干预后Barthel指数、KPS评分高于干预前,且观察组FMAS、MNA评分高于对照组(P<0.05)。结论链式护理干预可降低STBI患者的围术期并发症风险,促进其意识状态及神经功能恢复,提高患者的肢体功能及自理能力,改善预后。Objective To study the effect of chain nursing intervention in the perioperative period of patients with severe traumatic brain injury(STBI).Methods A total of 60 patients with STBI admitted to Nancheng County People's Hospital of Jiangxi Province from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into control group(30 patients)and observation group(30 patients).The control group was given routine perioperative nursing,while the observation group was given chain nursing intervention.The perioperative complications,the National Institutes of Health Neurological Deficiency Scale(NIHSS)score,the Glasgow Coma Scale(GCS)score,the Fugl-Meyer Motor Function Assessment Scale(FMAS)score,the Mini Nutrition Assessment Scale(MNA)score,the Barthel index,and the Karnofsky Health Status Scale(KPS)score of the two groups were compared.Results The incidence of perioperative complications in the observation group was lower than that in the control group(P<0.05).The NIHSS score of the two groups after intervention was less than that before intervention,and the GCS score was higher than that before intervention,while the NIHSS score of the observation group was less than that of the control group,and the GCS score was higher than that of the control group(P<0.05).The FMAS and MNA scores of the two groups after intervention were higher than those before intervention,and the FMAS and MNA scores of the observation group were higher than those of the control group(P<0.05).The Barthel index and KPS scores of the two groups after intervention were higher than those before intervention,and the FMAS and MNA scores of the observation group were higher than those of the control group(P<0.05).Conclusion Chain nursing intervention can reduce the risk of perioperative complications in patients with STBI,promote the recovery of consciousness and neurological function,improve the limb function and self-care ability of patients,and improve the prognosis.

关 键 词：重型颅脑创伤 链式护理 围术期 并发症 运动功能 神经损伤 预后 

分 类 号：R473.6[医药卫生—护理学]