摘要
目的:探讨集束化护理干预在预防重症颅脑损伤患者颅内压(ICP)监测并发症的效果。方法:选取2015年5月至2016年2月我院神经外科重症医学科(ICU)收治的82例急性重型颅脑损伤患者作为研究对象,按随机数字法分为试验组和对照组,其中对照组行常规ICP护理管理,试验组给予ICP集束化护理管理,分别比较两组置管后肺部感染、泌尿感染、颅内感染、静脉导管感染以及颅内血肿和引流管阻塞等并发症的发生情况,同时记录并计算两组患者机械通气时间、入住ICU时间、住院时间、费用和满意度评分。所得数据利用统计学软件SPSS 17.0建模分析处理。结果:与对照组相比较,试验组患者的肺部感染、泌尿感染、颅内感染、静脉导管感染和引流管堵塞等并发症发生率均显著降低,差异均有统计学意义(P<0.05),但两组患者在ICP监测相关颅内血肿发生情况方面则无显著区别(P>0.05)。结论:集束化护理在预防重型颅脑损伤患者ICP置管相关并发症方面的临床效果显著,能显著降低感染和引流管阻塞等并发症的发生率,明显缩短住院时间和减少患者经济负担,大大提高了患者的满意度。
Objective: To explore the effect of cluster-based care on the prevention of complications of ICP monitoring in patients with severe craniocerebral injury. Methods: A total of 82 patients with acute and severe brain injury admitted to the department of neurosurgery ICU of our hospital from May 2015 to February 2016 were selected as the subjects of the study. 82 severe craniocerebral injury patients with ICP monitoring were randomly divided into the experimental group and the control group. The patients in the control group were treated with routine nursing of ICP,the experimental group was given ICP cluster-based care. The incidence rate of pulmonary infection,urinary infection,intracranial infection,venous catheter infection,intracranial hematoma and drainage tube obstruction of the two groups were compared,and the mechanical ventilation time,ICU time,hospitalization time,cost and satisfaction score of two groups were recorded and calculated. The data were analyzed by statistical software SPSS 17. 0. Results: The incidence rate of pulmonary infection,urinary infection,intracranial infection,venous catheter infection and drainage tube obstruction in the experimental group was significantly lower than that in the control group. The differences were statistically significant( P < 0. 05). There was no significant difference between the two groups in the incidence of intracranial hematoma( P > 0. 05). Conclusion: Cluster-based care has significant clinical effect on the prevention of the incidence rate of complications of severe craniocerebral injury patients with ICP catheter,and it also can significantly reduce the incidence rate of infection,drainage tube obstruction and other complications. Therefore,cluster-based care can shorten the hospitalization time,reduce the economic burden of patients,and improve patients' satisfaction.
出处
《中国医药导刊》
2017年第12期1395-1398,共4页
Chinese Journal of Medicinal Guide
基金
四川省软科学研究项目(项目编号:2017ZR0170
项目名称:医院感染评价指标体系构建及综合评价实证研究)
