基于加速康复护理理念的集束化护理在重症颅内损伤患者中的应用效果  

Application effect of cluster nursing based on the concept of acelerated rehabilitation nursing in patients with severe intracranial injury

作　　者：孙楠 SUN Nan(Neurological Care Unit,Longkou People Hospital,Yantai,Shandong 265701,China)

机构地区：[1]龙口市人民医院神经外科监护室,山东烟台265701

出　　处：《医药前沿》2025年第12期112-115,共4页Journal of Frontiers of Medicine

摘　　要：目的观察基于加速康复护理理念的集束化护理在重症颅内损伤患者中的应用效果。方法选取2021年1月—2023年12月龙口市人民医院收治的300例重症颅内损伤患者,采用随机数字表法分为对照组和观察组各150例。对照组采用常规护理,观察组采用基于加速康复护理理念的集束化护理。比较两组并发症发生率、恢复情况、护理满意度及自我感受负担。结果观察组并发症总发生率低于对照组,肠鸣音恢复、肛门排气、首次下床及住院时间均短于对照组,服务态度、责任感、专业素养评分均高于对照组(P<0.05);护理后,两组自我感受负担量表(SPBS)各维度评分均低于护理前,且观察组低于对照组(P<0.05)。结论基于加速康复护理理念的集束化护理在重症颅内损伤患者中的应用效果较好,能够缩短患者康复护理所需时间,减轻住院治疗的自我感受负担,降低并发症发生率,提高护理满意度。Objective To observe the application effect of cluster nursing based on the concept of accelerated rehabilitation nursing in patients with severe intracranial injury.Methods A total of 300 patients with severe intracranial injury admitted to Longkou People Hospital from January 2021 to December 2023 were selected and randomly divided into a control group and an observation group using a random number table,with 150 cases in each group.The control group received routine care,while the observation group received cluster nursing based on the concept of accelerated rehabilitation nuring.The incidence of complications,cure status,nursing satisfaction,and perceived burden were compared between the two groups.Results The total incidence of complications in the observation group was lower than that in the control group,with shorter bowel sounds,fecal incontinence,first discharge time,and hospital stay compared to the control group,the scores of service attitude,sense of responsibility and professional competence were all higher in the observation group(P<0.05);after nursing,both groups had lower Self-Perceived Burden Scale(SPBS)scores than before nuring,with the observation group scoring lower than the control group(P<0.05).Conclusions Cluster nursing based on the concept of accelerated rehabilitation nuring has good effects on patients with severe intracranial injury,reducing the time required for rehabilitation care,decreasing perceived hospitalization burden,lowering the incidence of complications,and improving nursing satisfaction.

关 键 词：重症颅内损伤 康复护理 集束化护理 并发症 恢复情况 护理满意度 自我感受负担 

分 类 号：R473[医药卫生—护理学]