摘要
目的研究循证护理在急性重型颅脑损伤(sTBI)肺部并发症(肺炎、肺不张)中的应用效果。方法将160例患者随机分为研究组和对照组各80例。研究组重点从“气道湿化、胸部物理疗法、气道管理、口咽部护理”等几个方面进行循证,获取最佳证据,指导临床护理;对照组给予翻身、拍背、雾化吸入、按需吸痰、对症等常规护理。比较2组患者的康复情况。结果研究组效果显著优于对照组(P<0．01)。结论运用循证护理能减少重型颅脑损伤肺部并发症的发生, 改善预后。
Objective To investigate the effect of using evidence- based nursing （EBN） in the course of nursing patients with severe craniocerebral injury comabined pulmonary diseases. Method Divided 160 patients into research group and control group randomly, there were 80 patients in each group. Using EBN in the research group, and routine nursing measures was used in the control group, and then compare the rehabilitation of patients in 2 groups. Result The condition of rehabilitation in research group was significant better than that of in control group, P〈 0.01. Conclusion Using EBN can effective decrease the incidence rate of pulmonary complication in patients with severe craniocerebral injury, and then improve the prognosis.
基金
山东省枣庄市科技局2005年科研基金资助项目(编号:200568)
关键词
循证护理
颅脑创伤
肺炎
肺不张
Evidence- based nursing
Craniocerebral injury
Pneumonia
Atelectasis
