摘要
目的 分析以赋权激励干预模式为基础快速康复外科护理在颅脑损伤患者中的应用效果。方法 选择2019年1月—2022年1月在本院重症监护室接受治疗的96例颅脑损伤患者作为研究对象,按随机数表法分为对照组和观察组两组,每组各48例。对照组患者采用重症监护室(ICU)常规护理干预,观察组患者在ICU常规干预基础上给予以赋权激励干预模式为基础快速康复外科护理干预。比较两组患者干预前24 h(T0)和完成干预24 h(T1)内的自我管理能力、神经功能、并发症和预后情况。结果 T1时刻,观察组患者的疾病、情绪、生活、康复锻炼、社会与人际评分均高于对照组,差异具有统计学意义(P<0.05);T1时刻,观察组患者的改良Rankin量表(mRS)评分、美国国立卫生研究院卒中量表(NIHSS)评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者的并发症总发生率低于对照组,差异具有统计学意义(P<0.05);观察组患者的残疾或死亡发生率低于对照组,差异具有统计学意义(P<0.05)。结论 颅脑损伤患者采用以赋权激励干预模式为基础快速康复外科护理干预可帮助提升自我管理能力,改善神经功能,降低并发症,改善预后。
Objective To analyze the application effect of rapid rehabilitation surgical nursing based on empowerment incentive intervention model in patients with craniocerebral injury.Methods A total of 96 patients with craniocerebral injury who were admitted to intensive care unit of our hospital from January 2019 to January 2022 were enrolled in the study.They were divided into a control group and an observation group based on a random number table method,with 48 patients in each group.All patients in the control group received routine ICU nursing intervention,while all patients in the observation group received rapid rehabilitation surgical nursing intervention based on an empowerment incentive intervention model beside the routine intervention.The self management ability and neurological function of the two groups of patients at 24 hours before intervention(T0)and 24 hours after the intervention(T1)were compared,and the complications and prognosis of the two groups of patients were compared.Results At T1,the scores of disease,emotion,life,rehabilitation exercise,social and interpersonal scores in observation group were higher than those in control group,with statistical significance(P<0.05).The scores of the modified Rankin scale(mRS)and the National Institutes of Health Stroke Scale(NIHSS)of patients in the observation group at T1 were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).The incidence of disability or death was lower than that in the control group(P<0.05).Conclusions Application of rapid rehabilitation surgical nursing intervention based on empowerment incentive intervention model in patients with craniocerebral injury can help to improve self management ability and neurological function,reduce complications,and improve prognosis.
作者
王盼
李婷
景孟娟
Wang Pan;Li Ting;Jing Mengjuan(Department of Critical Care Medicine,Henan Provincial People's Hospital,Zhengzhou,Henan 450003,China)
出处
《齐齐哈尔医学院学报》
2023年第20期1983-1986,共4页
Journal of Qiqihar Medical University
关键词
颅脑损伤
快速康复
赋权激励干预
自我管理能力
神经功能
预后
Craniocerebral injury
Rapid recovery
Empowerment incentive intervention
Self management ability
Neurological function
Prognosis
