基于损伤控制理论的护理干预对重症颅脑损伤脑积水患者神经功能恢复和生命质量的影响  

Effect of Nursing Intervention Based on Damage Control Theory on Neurological Function Recovery and Quality of Life in Patients with Severe Craniocerebral Injury Hydrocephalus

作　　者：杨萍 张聪 YANG Ping;ZHANG Cong(Department of Neurosurgery,The Third People's Hospital of Henan Province,Zhengzhou 450006,Henan Province,China)

机构地区：[1]河南省直第三人民医院神经外科,河南郑州450006

出　　处：《罕少疾病杂志》2024年第8期20-22,28,共4页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(LHGJ20220675)。

摘　　要：目的探讨重症颅脑损伤脑积水患者采用损伤控制理论的护理干预对其神经功能恢复和生命质量的影响。方法将2021.01-2023.12河南省直第三人民医院神经外科收治的重症颅脑损伤脑积水患者(78例),依据随机数字表法分为参照组(39例)、研究组(39例)。参照组患者入院后进行常规干预,研究组患者入院后进行损伤控制理论的护理干预。将两组患者满意度,干预前及干预2、4周后活化部分凝血活酶时间(APTT)、凝血酶原时间(PT),干预前后Fugl-Meyer、美国国立卫生研究院卒中量表(NIHSS)、格拉斯哥昏迷量表(GCS)、伤情严重程度(ISS)、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)、生命质量评分进行比较。结果参照组、研究组经过临床护理干预满意度占79.49%(31/39)、94.87%(37/39),研究组比参照组更高;两组干预2、4周后APTT、PT相较于干预前缩短,研究组比参照组更短;两组干预后Fugl-Meyer、GCS、社会功能、活力、精神健康、总体健康评分相较于干预前升高,研究组比参照组更高,NIHSS、ISS、APACHEⅡ评分相较于干预前降低,研究组比参照组更低(P<0.05)。结论损伤控制理论的护理干预应用于重症颅脑损伤脑积水患者中,可提高患者满意度,恢复患者肢体功能,减轻颅脑功能损伤,改善凝血功能、病情及预后,提升生命质量。Objective To investigate the effect of nursing intervention using damage control theory on the recovery of nerve function and quality of life of severe craniocerebral injury hydrocephalus patients.Methods The patients with severe craniocerebral injury hydrocephalus(78 cases)admitted to the Department of Neurosurgery of the The Third People's Hdspital of Henan Province from 2021.01 to 2023.12 were divided into the reference group(39 cases)and the study group(39 cases)according to random number table method.Patients in the reference group received routine intervention after admission,and patients in the study group received nursing intervention based on damage control theory after admission.The satisfaction of patients in the two groups was evaluated by activated partial thromboplastin time(APTT)and prothrombin time(PT)before intervention and 2 and 4 weeks after intervention.Before and after the intervention,Fugl-Meyer,national institute of health stroke scale(NIHSS),glasgow coma scale glasgow coma scale(GCS),injury severity score(ISS),acute physiology and chronic health evaluation,(APACHEⅡ)and quality of life score were compared.Results The satisfaction of clinical nursing intervention in the reference group and the study group accounted for 79.49%(31/39)and 94.87%(37/39),and the study group was higher than the reference group.After 2 and 4 weeks of intervention,APTT and PT in both groups were shorter than before intervention,and the study group was shorter than the reference group.After intervention,the scores of Fugl-Meyer,GCS,social function,vitality,mental health and general health in both groups were higher than before intervention,and the scores of NIHSS,ISS and APACHEⅡwere higher in the study group than in the reference group,while the scores of NIHSS,ISS and ApacheⅡwere lower in the study group than in the reference group(P<0.05).Conclusion The nursing intervention of injury control theory applied to patients with severe craniocerebral injury hydrocephalus can improve patient satisfaction,restore lim

关 键 词：重症颅脑.损伤脑积水 损伤控制理论 护理干预 神经功能 生命质量 

分 类 号：R651.15[医药卫生—外科学]