改良型防抓手套在颅脑损伤躁动患者中的应用价值
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摘要
目的:探讨改良型防抓手套在颅脑损伤躁动患者中的应用价值。方法:选取本院2016年2月-2018年1月颅脑损伤躁动患者90例作为研究对象,按照随机数字表法将其分为观察组和对照组,各45例。对照组采用常规的模式进行护理,观察组采用改良型防抓手套进行护理,比较两组护理满意度、舒适度、安全感和活动度评分,护理前后生活质量和焦虑情绪评分,以及非计划拔管、皮肤不良反应发生情况。结果:观察组颅脑损伤躁动护理满意度明显高于对照组,差异有统计学意义(x~2=11.250 0,P=0.000 8)。护理前两组生活质量及焦虑情绪评分比较,差异均无统计学意义(P>0.05);护理后,观察组生活质量及焦虑情绪评分均明显优于对照组,差异均有统计学意义(P<0.05)。护理后观察组舒适度、安全感和活动度评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组非计划拔管和皮肤不良反应发生情况均明显少于对照组,差异均有统计学意义(x~2=3.920 0、3.920 0,P=0.0477、0.0477)。结论:颅脑损伤躁动患者行改良型防抓手套护理疗效肯定,可有效减少非计划拔管发生率、皮肤不良反应发生率,改善生存质量,提高舒适度和安全感,减轻焦虑感,提高患者的满意度。
Objective:To explore the application value of modified anti-scratch gloves in patients with craniocerebral injury and restlessness.Method:A total of 90 patients with craniocerebral injury and restlessness in our hospital from February 2016 to January 2018 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,45 cases in each group.The control group was treated with the usual mode of nursing,the observation group was treated with modified anti-scratch gloves nursing.The satisfaction degree,comfort,safety and activity scores,quality of life and anxiety scores before and after nursing and the occurrence of unplanned extubation and skin adverse reactions were compared between the two groups.Result:The nursing satisfaction of craniocerebral injury and restlessness in the observation group was significantly higher than that of the control group,the difference was statistically significant(x~2=11.250 0,P=0.000 8).There were no significant differences in the scores of quality of life and anxiety between the two groups before and after nursing(P>0.05).After nursing, the scores of quality of life and anxiety in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of comfort,safety and activity in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of unplanned extubation and skin adverse reactions in the observation group were significantly less than those in the control group,the differences were statistically significant(x~2=3.920 0,3.920 0,P=0.047 7, 0.047 7).Conclusion:The patients with craniocerebral injury and restlessness are treated with modified antiscratch gloves.The curative effect can be effectively eliminated.It can effectively reduce the incidence of unplanned extubation and skin adverse reactions,improve the quality of life,improve comfort and security,reduce anxiety and improve satisfaction degree of patient.
Objective:To explore the application value of modified anti-scratch gloves in patients with craniocerebral injury and restlessness.Method:A total of 90 patients with craniocerebral injury and restlessness in our hospital from February 2016 to January 2018 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,45 cases in each group.The control group was treated with the usual mode of nursing,the observation group was treated with modified anti-scratch gloves nursing.The satisfaction degree,comfort,safety and activity scores,quality of life and anxiety scores before and after nursing and the occurrence of unplanned extubation and skin adverse reactions were compared between the two groups.Result:The nursing satisfaction of craniocerebral injury and restlessness in the observation group was significantly higher than that of the control group,the difference was statistically significant(x~2=11.250 0,P=0.000 8).There were no significant differences in the scores of quality of life and anxiety between the two groups before and after nursing(P>0.05).After nursing, the scores of quality of life and anxiety in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of comfort,safety and activity in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of unplanned extubation and skin adverse reactions in the observation group were significantly less than those in the control group,the differences were statistically significant(x~2=3.920 0,3.920 0,P=0.047 7, 0.047 7).Conclusion:The patients with craniocerebral injury and restlessness are treated with modified antiscratch gloves.The curative effect can be effectively eliminated.It can effectively reduce the incidence of unplanned extubation and skin adverse reactions,improve the quality of life,improve comfort and security,reduce anxiety and improve satisfaction degree of patient.
引文
[1]藏琳琳.集束化护理对外伤性颅脑损伤患者术后躁动及生活质量的影响[J].河南医学研究,2017,26(13):2469-2470.
[2]徐淑华,孙静.改良型防抓手套在颅脑损伤躁动患者非计划拔管中的应用效果[J].安徽医药,2017,21(8):1542-1544.
[3]孙玉,赵赟.体位约束带的制作及在颅脑损伤躁动患者中的应用[J].护理学杂志,2017,32(12):91-92.
[4]Rundhaug N P,Moen K G,Skandsen T,et al.Moderate and severe traumatic brain injury:effect of blood alcohol concentration on Glasgow Coma Scale score and relation to computed tomography findings[J].Journal of Neurosurgery,2015,122(1):211-218.
[5]刘建荣,王妮,唐小璐,等.集束化护理干预在重型颅脑损伤后躁动患者中的临床应用效果[J].广西医科大学学报,2017,34(4):636-640.
[6]Horn S D,Corrigan J D,Beaulieu C L,et al.Traumatic brain injury patient,injury,therapy,and ancillary treatments associated with outcomes at discharge and 9 months postdischarge[J].Archives of Physical Medicine and Rehabilitation,2015,96(8 Suppl):S304-329.
[7]李艳芬.保护性约束临床路径护理在神经外科颅脑损伤躁动患者中的应用[J].齐鲁护理杂志,2017,23(6):76-78.
[8]孙惠真,卢美观,陈丽玲.集束化护理在颅脑损伤躁动患者中的应用价值[J].医疗装备,2016,29(21):167-168.
[9]周宏玉,尹瑞娟,王小焕,等.颅脑损伤患者躁动原因分析与护理进展[J].上海护理,2016,16(2):61-64.
[10]Bogner J,French L M,Lange R T,et al.Pilot study of traumatic brain injury and alcohol misuse among service members[J].Brain Injury,2015,29(7-8):905-914.
[11]杜厚倩.急诊护理路径在重症颅脑损伤患者急救中的应用效果观察[J].中国医学创新,2014,11(26):77-79.
[12]Madden L K,DeVon H A.A systematic review of the effects of body temperature on outcome after adult traumatic brain injury[J].The Journal of Neuroscience Nursing,2015,47(4):190-203.
[13]赖品英,谷岩,叶宇梅,等.颅脑损伤躁动患者应用集束化护理的效果分析[J].吉林医学,2015,36(16):3712-3713.
[14]朱立霞,李凤霞,杨敏,等.集束化护理在颅脑损伤躁动患者中的应用[J].齐鲁护理杂志,2014,20(2):28-29.
[15]周伟,季洪玲,朱月兰.急诊颅脑损伤躁动患者的临床病因观察及护理干预对策[J].实用心脑肺血管病杂志,2013,21(1):173-174.
[16]Galbiati G,Paola C.Effects of open and closed endotracheal suctioning on intracranial pressure and cerebral perfusion pressure in adult patients with severe brain injury:a literature review[J].The Journal of Neuroscience Nursing,2015,47(4):239-246.
[17]郑燕珍,金慧君,周建萍.颅脑损伤躁动患者高压氧治疗的预见性护理[J].现代实用医学,2013,25(12):1409-1410.
[18]姚秋近,徐静娟,景新华.低年资护士评判性思维能力培养对脑损伤病人躁动原因判断的影响[J].全科护理,2013,11(27):2533-2535.
[19]Seel R T,Barrett R S,Beaulieu C L,et al.Institutional variation in traumatic brain injury acute rehabilitation practice[J].Archives of Physical Medicine and Rehabilitation,2015,96(8Suppl):S197-208.
[20]邓秀琴.脑损伤躁动病人应用静脉留置针输液的护理[J].内蒙古中医药,2013,32(6):155-156.
[2]徐淑华,孙静.改良型防抓手套在颅脑损伤躁动患者非计划拔管中的应用效果[J].安徽医药,2017,21(8):1542-1544.
[3]孙玉,赵赟.体位约束带的制作及在颅脑损伤躁动患者中的应用[J].护理学杂志,2017,32(12):91-92.
[4]Rundhaug N P,Moen K G,Skandsen T,et al.Moderate and severe traumatic brain injury:effect of blood alcohol concentration on Glasgow Coma Scale score and relation to computed tomography findings[J].Journal of Neurosurgery,2015,122(1):211-218.
[5]刘建荣,王妮,唐小璐,等.集束化护理干预在重型颅脑损伤后躁动患者中的临床应用效果[J].广西医科大学学报,2017,34(4):636-640.
[6]Horn S D,Corrigan J D,Beaulieu C L,et al.Traumatic brain injury patient,injury,therapy,and ancillary treatments associated with outcomes at discharge and 9 months postdischarge[J].Archives of Physical Medicine and Rehabilitation,2015,96(8 Suppl):S304-329.
[7]李艳芬.保护性约束临床路径护理在神经外科颅脑损伤躁动患者中的应用[J].齐鲁护理杂志,2017,23(6):76-78.
[8]孙惠真,卢美观,陈丽玲.集束化护理在颅脑损伤躁动患者中的应用价值[J].医疗装备,2016,29(21):167-168.
[9]周宏玉,尹瑞娟,王小焕,等.颅脑损伤患者躁动原因分析与护理进展[J].上海护理,2016,16(2):61-64.
[10]Bogner J,French L M,Lange R T,et al.Pilot study of traumatic brain injury and alcohol misuse among service members[J].Brain Injury,2015,29(7-8):905-914.
[11]杜厚倩.急诊护理路径在重症颅脑损伤患者急救中的应用效果观察[J].中国医学创新,2014,11(26):77-79.
[12]Madden L K,DeVon H A.A systematic review of the effects of body temperature on outcome after adult traumatic brain injury[J].The Journal of Neuroscience Nursing,2015,47(4):190-203.
[13]赖品英,谷岩,叶宇梅,等.颅脑损伤躁动患者应用集束化护理的效果分析[J].吉林医学,2015,36(16):3712-3713.
[14]朱立霞,李凤霞,杨敏,等.集束化护理在颅脑损伤躁动患者中的应用[J].齐鲁护理杂志,2014,20(2):28-29.
[15]周伟,季洪玲,朱月兰.急诊颅脑损伤躁动患者的临床病因观察及护理干预对策[J].实用心脑肺血管病杂志,2013,21(1):173-174.
[16]Galbiati G,Paola C.Effects of open and closed endotracheal suctioning on intracranial pressure and cerebral perfusion pressure in adult patients with severe brain injury:a literature review[J].The Journal of Neuroscience Nursing,2015,47(4):239-246.
[17]郑燕珍,金慧君,周建萍.颅脑损伤躁动患者高压氧治疗的预见性护理[J].现代实用医学,2013,25(12):1409-1410.
[18]姚秋近,徐静娟,景新华.低年资护士评判性思维能力培养对脑损伤病人躁动原因判断的影响[J].全科护理,2013,11(27):2533-2535.
[19]Seel R T,Barrett R S,Beaulieu C L,et al.Institutional variation in traumatic brain injury acute rehabilitation practice[J].Archives of Physical Medicine and Rehabilitation,2015,96(8Suppl):S197-208.
[20]邓秀琴.脑损伤躁动病人应用静脉留置针输液的护理[J].内蒙古中医药,2013,32(6):155-156.