摘要
目的 探讨1M3S安全护理管理预防神经外科患者坠床或跌倒的临床实践效果。方法 选取2022年7月至2023年11月厦门大学附属第一医院杏林分院收治的神经外科患者90例,按照随机掷硬币的方式将其分为管理组(45例)和常规组(45例),其中常规组采用常规护理干预,管理组在常规组的基础上采用1M3S安全护理管理方式进行干预,采用神经系统症状评分(NSS)比较两组患者干预前及干预后的临床症状,采用格拉斯哥预后评分(GOS)和改良Rankin量表(mRS)比较两组患者干预前后的神经功能恢复情况,比较两组患者不良事件(坠床、跌倒、意外骨折)的发生率。结果 干预后,两组患者的NSS评分均较干预前下降(P <0.05),且管理组低于常规组(P <0.05)。干预后,两组患者GOS评分均较干预前上升(P <0.05),且管理组高于常规组(P <0.05),两组患者mRS评分均较干预前下降(P <0.05),且管理组低于常规组(P <0.05)。两组患者坠床、跌倒、意外骨折的发生率差异无统计学意义(P> 0.05),但管理组的总发生率低于常规组(P <0.05)。结论 采用1M3S安全护理管理措施,可有效改善神经外科患者的临床症状,提高患者的神经功能,并减少坠床或跌倒等不良事件的发生率,利于患者的预后康复。
Objective To explore the clinical practice effect of 1M3S safety nursing management in preventing bed falls or falls in neurosurgical patients.Methods A total of 90 neurosurgical patients admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from July 2022 to November 2023 were selected and divided into a management group(n=45) and a routine group(n=45) according to a random coin toss,in which the routine group used routine nursing interventions,and the management group intervened on the basis of the routine group using the 1M3S safety nursing management approach,using the neurological symptom score(NSS) was used to compare the clinical symptoms of the two groups before and after the intervention,Glasgow outcome scale(GOS) and modified Rankin scale(mRS) were used to compare the neurological recovery of the two groups before and after the intervention,and the incidence of adverse events(bed fall,fall,accidental fracture) was compared between the two groups.Results After the intervention,the NSS scores of patients in both groups decreased compared with the pre-intervention(P<0.05),and the management group was lower than the conventional group(P<0.05).After intervention,the GOS scores of patients in both groups were higher than before intervention(P<0.05),and the management group was higher than the conventional group(P<0.05).mRS scores of patients in both groups were lower than before intervention(P<0.05),and the management group was lower than the conventional group(P<0.05).There was no statistically significant difference in the incidence of bed fall,fall and accidental fracture between the two groups(P>0.05),but the total incidence in the management group was lower than that in the conventional group(P<0.05).Conclusions The use of 1M3S safety nursing management measures can effectively improve the clinical symptoms of neurosurgical patients,enhance their neurological function,and reduce the incidence of adverse events such as bed falls or falls,which is beneficial for the prognosis and recovery of patients.
作者
徐翠珍
赵梅珠
XU Cuizhen;ZHAO Meizhu(Department of Neurosurgery,Xinglin Branch,The First Affiliated Hospital of Xiamen University,Xiamen 361022,China)
出处
《中国医药指南》
2024年第19期104-106,共3页
Guide of China Medicine
关键词
1M3S安全护理管理
神经外科
坠床
跌倒
神经功能
1M3S safety nursing management
Neurosurgery
Falling into bed
Falling
Neurological function
