唤醒护理对ICU重症颅脑损伤患者的影响
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摘要
目的探究呼唤护理对ICU重症颅脑损伤患者的影响。方法方便选取2017年1月—2018年6月期间在该院ICU科室收治的96例重症颅脑损伤患者作为该次研究对象,以上研究的对象和家属均知情同意,并获得了伦理委员会的批准。按照就诊的先后顺序分为对照组(常规护理)和观察组(呼唤护理),每组均分为48例,观察及比较两组重症颅脑损伤患者护理干预前、后的GCS评分以及清醒时间、清醒率情况。结果观察组重症颅脑损伤患者护理干预后的GCS评分为(11.61±1.73)分,较干预前有所改善,则显著优于对照组干预后的GCS评分为(8.96±1.65)分;观察组重症颅脑损伤患者的清醒时间为(15.54±9.51)d,显著优于对照组患者的清醒时间为(26.61±11.51)d,组间进行比较,差异有统计学意义(t=8.236,P<0.05);观察组重症颅脑创伤患者的临床总清醒率为45例(93.75%),显著高于对照组患者的临床总清醒率为36例(75.00%),组间进行比较,差异有统计学意义(χ2=8.364,P<0.05)。结论针对ICU重症颅脑创伤患者实施唤醒护理模式,可对神经系统产生有效刺激,从中促进脑神经功能的恢复,有利于预后康复,值得临床推广。
Objective To investigate the effect of nursing on patients with severe craniocerebral injury in ICU. Methods Convenient select a total of 96 patients with severe head injury admitted to our hospital from January 2017 to June 2018 were enrolled. The subjects and family members of the above studies were informed and approved by the ethics committee.According to the order of treatment, they were divided into control group(conventional nursing) and observation group(calling nursing). Each group was divided into 48 cases. The GCS scores and waking time, the rate of waking before and after nursing intervention were observed and compared between the two groups of patients with severe head injury. Results The GCS score of the patients with severe craniocerebral injury after observation was(11.61±1.73)points, which was better than that before the intervention, which was significantly better than the GCS score of the control group(8.96±1.65)points. The awake time of patients with severe craniocerebral injury was(15.54±9.51) d, which was significantly better than that of the control group(26.61±11.51) d. There was statistically significant between the groups(t=8.236, P<0.05); the overall clinical awake rate of patients with severe craniocerebral trauma in the observation group was 45 cases(93.75%), significantly higher than the clinical total awake rate of the control group 36 cases(75.00%), compared between groups, the different was statistically significant(χ2=8.364, P<0.05). Conclusion Acupuncture nursing mode for patients with severe craniocerebral trauma in ICU can stimulate the nervous system and promote the recovery of cranial nerve function, which is conducive to prognosis and rehabilitation. It is worthy of clinical promotion.
Objective To investigate the effect of nursing on patients with severe craniocerebral injury in ICU. Methods Convenient select a total of 96 patients with severe head injury admitted to our hospital from January 2017 to June 2018 were enrolled. The subjects and family members of the above studies were informed and approved by the ethics committee.According to the order of treatment, they were divided into control group(conventional nursing) and observation group(calling nursing). Each group was divided into 48 cases. The GCS scores and waking time, the rate of waking before and after nursing intervention were observed and compared between the two groups of patients with severe head injury. Results The GCS score of the patients with severe craniocerebral injury after observation was(11.61±1.73)points, which was better than that before the intervention, which was significantly better than the GCS score of the control group(8.96±1.65)points. The awake time of patients with severe craniocerebral injury was(15.54±9.51) d, which was significantly better than that of the control group(26.61±11.51) d. There was statistically significant between the groups(t=8.236, P<0.05); the overall clinical awake rate of patients with severe craniocerebral trauma in the observation group was 45 cases(93.75%), significantly higher than the clinical total awake rate of the control group 36 cases(75.00%), compared between groups, the different was statistically significant(χ2=8.364, P<0.05). Conclusion Acupuncture nursing mode for patients with severe craniocerebral trauma in ICU can stimulate the nervous system and promote the recovery of cranial nerve function, which is conducive to prognosis and rehabilitation. It is worthy of clinical promotion.
引文
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[3]李志月,黎琼,张晓,等.人文关怀模式在昏迷病人中的应用现状[J].循证护理,2018,4(5):410-413.
[4]王玉英,孙军菊,周树丽,等.唤醒护理对ICU重症颅脑损伤患者的影响[J].实用临床护理学电子杂志,2016,1(6):72-73.
[5]黄春敏,孙剑虹.基于脑性昏迷患者感知水平的唤醒干预对其觉醒意识及预后的影响[J].中华护理杂志,2016,51(1):29-34.
[6]金红珍,徐希德,顾宇丹,等.呼唤式护理干预策略对颅脑损伤致昏迷患者意识水平及促醒状况的影响[J].中国医药导报,2016,13(30):180-183.
[7]朱凌云,汤丽萍,束玲玲.唤醒护理专科特色服务在颅脑外伤昏迷患者中的应用[J].实用临床医药杂志,2016,20(22):143-144.
[8]丁东.针刺联合中药对颅脑损伤术后病人恢复的影响[D].合肥:安徽中医药大学,2015.
[9]张涛,冀来喜.促醒针刺疗法在昏迷病人中的应用[J].山西中医学院学报,2017,18(1):42-43.
[10]潘守国.基于脑性昏迷患者感知水平的唤醒干预对其觉醒意识及预后的影响[J].中国实用神经疾病杂志,2016,19(24):51-53.
[11]李洪艳,黄长静,韩梅,等.昏迷促醒治疗仪对脑出血昏迷病人促醒作用探讨[J].护理研究,2018,32(6):995-996.