摘要
目的 探讨颅脑损伤患者采用高压氧联合心理护理干预的效果。方法 选取2014年7-11月收住北京海军总医院的颅脑损伤患者62例,将其随机分为观察组和对照组,各31例。两组均采用高压氧治疗和高压氧常规护理,观察组在此基础上采用心理护理干预。采用格拉斯哥昏迷评分量表（GCS）评估患者的意识改善情况,采用Barthel指数（BI）评估患者的预后,采用焦虑自评量表（SAS）、抑郁自评量表（SDS）分析患者的心理障碍情况,并评价患者的护理满意度,进行组间比较。结果①观察组和对照组高压氧治疗前2 d GCS评分[（5.41±1.22）比（5.49±1.24）分]比较,差异无统计学意义（t=1.24,P〉0.05）;高压氧治疗2周[（7.78±1.56）比（6.57±1.54）分]、8周[（12.01±2.46）比（8.31±1.93）分]比较,差异有统计学意义（t=6.33,P〈0.05;t=12.41,P〈0.01）。②两组患者治疗24周后,预后情况观察组优于对照组（χ^2=13.31,P〈0.05）。③心理干预（高压氧治疗8周时）后,观察组焦虑评分[（44.38±2.47）分]低于对照组[（53.54±2.83）分],差异有统计学意义（t=5.20,P〈0.05）;观察组抑郁评分[（39.46±2.51）分]低于对照组[（47.62±2.16）分],差异有统计学意义（t=6.46,P〈0.05）。④观察组患者护理满意度明显高于对照组（93.55%比67.74%）,差异有统计学意义（χ^2=4.59,P〈0.05）。结论 高压氧治疗联合心理护理能明显改善颅脑损伤患者的意识状态,改善患者的预后及焦虑、抑郁心理障碍,并明显提高患者的护理满意度。
Objective To investigate the effect of hyperbaric oxygen combined with psychological nursing intervention for patients with traumatic brain. Methods From July to November 2014, 62 cases of the patients with traumatic brain injury in Beijing Navy General Hospital were randomly divided into observation group and control group, each group had 31 cases. Both groups were given hyperbaric oxygen treatment and hyperbaric oxygen routine care, based on these,the observation group was added to psychological care. Glasgow coma scale score（GCS） was used to assess the improvement of patient＇s consciousness, barthel index（BI） was used to assess the prognosis of the patients, self-rating scale（SAS） and self-rating depression scale（SDS） was used to analyze patients＇ mental disorder, and patients satisfaction with care was evaluated. The results of the two groups were compared. Results ①GCS score [（5.41±1.22） vs（5.49±1.24） points] of the observation group and control group two days before hyperbaric oxygen therapy was compared, there was no significant difference（t = 1.24, P〉0.05）; GCS score [（7.78±1.56） vs（6.57±1.54）points] of the observation group and control group two weeks after hyperbaric oxygen therapy was compared, GCS score [（12.01±2.46） vs（8.31±1.93）points] of the observation group and control group eight weeks after hyperbaric oxygen therapy was compared, there were significant differences（t = 6.33, P〈0.05; t = 12.41, P 〈0.01）. ②After 24 weeks of treatment, the prognosis of the observation group was better than that of the control group（χ^2=13.31, P〈0.05）.③Anxiety score of the observation group [（44.38±2.47） points] was lower than that of the control group [（53.54±2.83） points] after psychological intervention（hyperbaric oxygen therapy 8 weeks）, there was a significant difference（t=5.20, P〈0.05）; depression score of the observation group [（39.46±2.51） points] was lower than that of the control group [（47.62±2.16） points], there was a significant difference（t = 6.46, P〈0.05）. ④The satisfaction degree with care in the observation group was higher than that of the control group（93.55% vs 67.74%）, there was a significant difference（χ^2= 4.59, P〈0.05）. Conclusion Hyperbaric oxygen therapy combined with psychological care can significantly improve the traumatic brain patient＇s state of consciousness, improve prognosis and mental disorders of anxiety, depression, and significantly improve the patients＇ nursing satisfaction.
出处
《中国医药导报》
CAS
2015年第29期122-125,共4页
China Medical Herald
基金
北京市科技计划项目(Z141100002114039)
关键词
高压氧
心理护理
护理满意度
Hyperbaric oxygen
Psychological care
Nursing satisfaction
