摘要
目的探讨神经科危重症患者发生护理意外的危险因素,观察护理干预疗效。方法纳入神经科危重症患者275例,对这些患者的基本信息进行记录存档,并就意外危险因素进行调查。2013年5月前入院的患者137例作为对照组,接受常规护理,其中男86例,女51例,2013年5月起入院的患者138例作为观察组,在常规护理的基础上就危险因素进行特定护理干预,其中男92例,女46例,观察二组患者意外发生情况,判断护理干预对神经科危重症患者发生意外的效果。结果神经科危重症患者发生护理意外的危险因素有活动能力(OR=3.54,P=0.000<0.01)、意识状态(OR=6.12,P=0.000<0.01)、吞咽能力(OR=4.82,P=0.016<0.05)、颅内压(OR=2.36,P=0.024<0.05);观察组较对照组发生护理意外的几率明显降低。结论针对神经科危重症患者发生护理意外的危险因素如活动能力、意识状态、吞咽能力、颅内压开展护理干预具有明显的临床效果和重要的意义。
Objective To explore the risk factors of nursing accident for neurological critical illness patients and observe the efficacy of nursing intervention on them.Methods A total of 275 cases of neurological patients were enrolled in author＇s hospital from May2012 to May2014,and the basic information on these patients were documented and the accident risk factors were investigated.Among them,137 patients（male86 cases,female 51 cases）were admitted to hospital as a control group before May 2013,and treated with routine care;while other 138 cases（male 92 cases,female 46 cases）were admitted as the experimental group after May 2013,and received specific treatments for the risk factors basis on the routine care.The occurrence of the accident was observed to determine nursing intervention in neurological critical patients.Results Risk factors on nursing accidents for neurological critical patients were activity of daily living（OR=3.54,P=0.000〈0.01）,the state of consciousness（OR=6.12,P=0.000〈0.01）,swallowing ability（OR=4.82,P=0.016〈0.05）,intracranial pressure（OR=2.36,P=0.024〈0.05）,respectively;the incidence rate of nursing accidents in the experimental group was obviously decreased than that in the control group.Conclusion It is play an important role on controlling infection to carry out nursing intervention on capacity for action,state of consciousness,swallowing ability and intracranial pressure for neurological critical patients.
出处
《中国煤炭工业医学杂志》
2015年第3期455-458,共4页
Chinese Journal of Coal Industry Medicine
基金
国家自然科学基金(编号:30973087)
关键词
神经外科
危重症
危险因素
干预护理
预防
Neurosurgery
Critical illness
Risk factors
Nursing intervention
Prevention
