摘要
目的:探讨急性重症脑外伤患者应用系统护理干预对其神经功能的改善作用。方法:此次90例研究对象均自本院收治的急性重症脑外伤患者中进行选取,选例时间控制在2017年6月至2019年6月,分为对照组和观察组,依据随机数字表法进行分组,每组各45例。予以对照组常规护理措施,并在以上对照组的基础上,予以观察组系统护理干预,3个月为两组的护理时间。对两组抢救效果、干预后NIHSS、GCS、FMA评分、Barthel指数以及护理满意度进行对比分析。结果:观察组的住院天数、抢救进行时间较对照组相比,均更短,死亡发生率则低于对照组;干预后观察组NIHSS评分较对照组相比,更低,GCS评分、FMA评分、Barthel指数则均高于对照组;干预后,观察组的护理总满意度95.56%较对照组的82.22%相比,较高(均P<0.05)。结论:急性重症脑外伤患者应用系统护理干预可缩短其治疗恢复的时间,提高患者神经功能、日常生活能力和肢体运动功能,稳定患者的意识状态,还可提高患者对护理的满意程度。
Objective:To explore the effect of systematic nursing intervention on neurological function of patients with acute severe brain trauma.Methods:90 patients with acute severe traumatic brain injury in our hospital were selected,and the selected time was controlled from June 2017 to June 2019.They were divided into control group and observation group,with 45 cases in each group according to the random number table method.The control group was given routine nursing measures,and on the basis of the above control group,the observation group was given systematic nursing intervention,and 3 months was the nursing time of the two groups.The rescue effect,NIHSS,GCS,FMA score,Barthel index and nursing satisfaction were compared and analyzed between the two groups.Results:Compared with the control group,the hospital stay and rescue time of the observation group were shorter,and the death rate was lower than that of the control group.After the intervention,the NIHSS score of the observation group was lower than that of the control group,while the GCS score,FMA score and Barthel index were higher than that of the control group.After the intervention,the total nursing satisfaction of the observation group(95.56%)was higher than that of the control group(82.22%)(all P<0.05).Conclusion:Systematic nursing intervention for patients with acute severe brain trauma can shorten the recovery time of treatment,improve the neurological function,daily living ability and limb movement function of patients,stabilize the consciousness of patients,and improve their satisfaction with nursing.
作者
王晓姗
WANG Xiaoshan(Nanyang First People’s Hospital,Nanyang 473003,Henan Province,China)
出处
《神经病学与神经康复学杂志》
2019年第3期64-68,共5页
Journal of Neurology and Neurorehabilitation
关键词
脑外伤
急性
重症
系统护理干预
神经功能
Cerebral trauma
Acute
Severe illness
Systematic nursing intervention
Neurological function
