基于BIS监测的镇静护理干预在颅脑损伤患者中的应用效果  

Application effect of sedation nursing intervention based on BIS monitoring in patients with craniocerebral injury

作　　者：吴雪梅 刘薇薇 徐莉 WU Xuemei;LIU Weiwei;XU Li(Western Hospital of Nanyang First People′s Hospital,Nanyang,Henan 473000,China)

机构地区：[1]南阳市第一人民医院西区医院,河南南阳473000

出　　处：《现代医药卫生》2024年第24期4230-4233,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨实施基于脑电双频指数评估(BIS)的镇静护理对颅脑损伤患者预后的影响。方法采用随机数字表法将2018年1月至2019年1月该院收治的46例颅脑损伤患者分为2组。对照组23例患者应用常规护理干预,研究组23例患者在对照组基础上实施基于BIS的镇静护理干预,观察比较2组患者镇静效果、干预后格拉斯哥昏迷评分法(GCS)评分及心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]。结果研究组患者镇静合适占比较高,镇静效果较优,但与对照组比较,差异无统计学意义(Z=0.440,P=0.660);研究组患者干预后GCS评分低于对照组,差异有统计学意义(t=18.515,P<0.001);研究组患者干预后SDS、SAS评分均低于对照组,差异均有统计学意义(t=7.770、9.539,P<0.001)。结论基于BIS的镇静护理可有效改善颅脑损伤患者预后,减轻患者消极情绪,促进患者康复。Objective To investigate the impact of sedation nursing based on bispectral index(BIS)monitoring on the prognosis of patients with craniocerebral injury.Methods A total of 46 patients with craniocerebral injury admitted to this hospital between January 2018 and January 2019 were divided into two groups using a random number table.The control group(23 patients)received routine nursing intervention,while the study group(23 patients)received BIS-based sedation nursing intervention on the basis of the control group.The sedation effect,Glasgow Coma Scale(GCS)scores after intervention,and psychological status[Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores]were observed and compared between the two groups.Results The study group had a higher proportion of appropriate sedation and a better sedation effect,but the difference was not statistically significant compared with the control group(Z=0.440,P=0.660).The GCS scores of the study group were lower than those of the control group after intervention,with a statistically significant difference(t=18.515,P<0.001).The SDS and SAS scores of the study group were lower than those of the control group after intervention,with statistically significant differences(t=7.770,9.539,P<0.001).Conclusion BIS-based sedation nursing can effectively improve the prognosis of patients with craniocerebral injury,reduce their negative emotions,and promote their recovery.

关 键 词：脑电双频指数 镇静护理 颅脑损伤 预后 格拉斯哥评分 抑郁 焦虑 

分 类 号：R47[医药卫生—护理学]