摘要
目的探讨八步流程下的并发症关注环节前移式护理方案的构建及对重症颅脑损伤的患者的护理效果。方法以2018年1月1日—2022年1月1日为研究时间段,选取海安市人民医院在此期间接受手术的重症颅脑损伤患者96例,将2018年1月1日—2020年1月31日采取常规护理的48例患者定义为对照组,将2020年2月1日—2022年1月1日采取八步流程下的并发症关注环节前移式护理方案的48例患者定义为研究组,观察两组护理前后的美国国立卫生研究院卒中量表(NIHSS)评分、格拉斯哥昏迷评分法(GCS)评分、Barthel指数、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分及护理期间术后并发症的发生率。结果两组护理后NIHSS评分均低于护理前(P<0.05),且研究组护理后NIHSS评分低于对照组(P<0.05);两组护理后GCS评分均高于护理前(P<0.05),且研究组护理后GCS评分高于对照组(P<0.05);两组护理后Barthel指数均高于护理前(P<0.05),且研究组护理后Barthel指数高于对照组(P<0.05);两组护理后SAS和SDS评分均高于护理前(P<0.05),且研究组护理后上述评分均高于对照组(P<0.05);研究组护理期间并发症发生率2.08%,低于对照组21.88%(P<0.05)。结论实施八步流程下的并发症关注环节前移式护理后,重型颅脑损伤术后的神经功能缺损得到改善,意识障碍得到缓解,日常活动能力得以提升,患者的心理状态得到改善,且并发症发生率较低,安全性较高。
Objective To explore the development of forward moving nursing scheme preventing complications based on eight step process and its nursing effects for patients with severe craniocerebral injury Methods 96 patients with severe craniocerebral injury who underwent surgery in Hai'an People's Hospital from January 12018 to January 12022 were selected.48 patients who received routine care from January 12018 to January 312020 were defined as the control group,and 48 patients who adopted the forward moving nursing scheme preventing complications based on eight step process from February 12020 to January 12022,were defined as the research group.The National Institutes of Health stroke scale(NIHSS)score,Glasgow coma scale(GCS)score,Barthel index,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)score before and after nursing and the incidence of postoperative complications were observed in the two groups.Results The NIHSS scores after nursing of these 2 groups were both significantly lower than those before nursing(both P<0.05),and the NIHSS scores after nursing of the research group was significantly lower than that of the control group(P<0.05);the GCS scores after nursing of these 2 groups were both significantly higher than those before nursing(both P<0.05),and the GCS score after nursing of the research group was significantly higher than that of the control group(P<0.05);the Barthel index after nursing of these 2 groups were both significantly higher than those before nursing(both P<0.05),and the Barthel index after nursing of the research group was significantly higher than that of the control group(P<0.05);the scores of SAS and SDS after nursing of thee 2 groups were both significantly higher than those before nursing(both P<0.05),and the scores of SAS and SDS after nursing of the research group were both significantly higher than those of the control group(both P<0.05).The incidence rate of complications during nursing of the research group was 2.08%,significantly lower than that of the control group(21.88%,P<0.05).Conclusion The implementation of forward moving nursing scheme preventing complications based on eight step process helps improve the consciousness,neurological function,ability of daily activities and psychological state of the patients with severe craniocerebral injury and greatly reduces the postoperative complication rate,which also possesses low incidence of complications and high safety.
作者
康慧敏
管义祥
戎捷骊
崔益秋
KANG Huimin;GUAN Yixiang;RONG Jieli;CUI Yiqiu(Department of Neurosurgery,Hai'an People's Hospital,Hai'an Jiangsu 226699,China)
出处
《中国急救复苏与灾害医学杂志》
2023年第6期793-796,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
江苏省卫生健康委科研项目(编号:Z2019033)。
关键词
八步流程
并发症关注环节前移式护理
重症颅脑损伤
术后并发症
神经功能
Eight-step process
Forward moving nursing scheme preventing complications
Severe craniocerebral injury
Postoperative complications
Neurological function
