集束化护理对颅脑损伤术后留置引流管患者不良事件发生率及感染发生率的影响  

Effect of Cluster Nursing on the Incidence of Adverse Events and Infection in Patients with Indentation Drainage Tube after Craniocerebral Injury

作　　者：章小霞 ZHANG Xiaoxia(Department of Neurosurgery,Pucheng County Hospital,Fujian Province,Nanping 353400,China)

机构地区：[1]福建省浦城县医院神经外科,南平353400

出　　处：《中国医药指南》2024年第27期49-51,共3页Guide of China Medicine

摘　　要：目的分析集束化护理对颅脑损伤术后留置引流管患者不良事件发生率及感染发生率的影响。方法选取2023年3月至2024年3月我院留置引流管的120例颅脑损伤患者,按随机数字表法分组法分为观察组和对照组,每组60例。两组均常规实施颅脑引流术、常规监测体征、吸氧、纠正酸碱平衡、建立静脉通路、补液等基础干预,并给予对照组颅脑损伤患者采用引流管常规护理,观察组颅脑损伤患者采用集束化护理。比较两组颅脑损伤患者不良事件(引流管堵塞、局部皮肤损伤、渗漏、过度引流)发生率、感染率(呼吸道、切口、泌尿系统)、护理前后生活质量评价量表SF-36评分改善情况。结果观察组颅脑损伤患者不良事件发生率、感染率低于对照组(P<0.05)。护理前两组颅脑损伤患者生理、社会、心理、情感等各项生活质量评分相比无统计学差异(P>0.05);护理后两组各项生活质量评分均较护理前改善(P<0.05),且观察组各项生活质量评分改善情况优于对照组(P<0.05)。结论集束化护理能有效降低颅脑损伤患者不良事件和感染发生率,并有利于减轻脑损伤程度,提升颅脑损伤患者生活质量。Objective To analyze the effects of cluster nursing on the incidence of adverse events and infection in patients with indwelling drainage tube after craniocerebral injury.Methods From March 2023 to March 2024,120 patients with craniocerebral injury in our hospital were selected and divided into the observation group and the control group by numerical randomization,with 60 cases in each group.Both groups received routine craniocerebral drainage,routine monitoring of physical signs,oxygen inhalation,correction of acid-base balance,establishment of venous access,fluid rehydration and other basic interventions.The patients with craniocerebral injury in the control group were given routine nursing by drainage tube,and the patients with craniocerebral injury in the observation group were given cluster nursing.The incidence of adverse events(drainage tube blockage,local skin injury,leakage,excessive drainage),infection rate(respiratory tract,incision,urinary system),and the improvement of score of short form 36 questionnaire(SF-36)before and after nursing were compared between the two groups.Results The incidence of adverse events and infection rate in the observation group were lower than those in the control group(P<0.05).There was no statistical difference in the scores of physical,social,psychological and emotional quality of life of patients with craniocerebral injury between the two groups before nursing(P>0.05),and all the scores of life quality of patients with craniocerebral injury after nursing were improved compared to before nursing(P<0.05),and the improvement of the scores of physical,social,psychological and emotional quality of life of patients with craniocerebral injury in the observation group was better than that in the control group(P<0.05).Conclusions Cluster nursing can effectively reduce the incidence of adverse events and infection in patients with craniocerebral injury,reduce the degree of brain injury and improve the quality of life of patients with craniocerebral injury.

关 键 词：颅脑损伤 术后 引流管 常规护理 集束化护理 不良事件 感染 

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