摘要
目的分析系统性急救护理程序应用于重型颅脑损伤患者急救中的效果。方法选取急诊科2015年4月-2016年4月接受治疗的重型颅脑损伤患者142例为研究对象。将其随机分为观察组和对照组各71例。观察组按照系统性急救护理程序进行护理,对照组给予常规急救护理。比较2组患者的急救时间、抢救成功率、NIHSS评分、Barthel指数、并发症发生情况及患者对护理工作的满意度。结果观察组的抢救时间明显短于对照组(t=6.458,P=0.002),抢救成功率高于对照组(χ~2=4.508,P=0.034)。治疗后观察组的NIHSS评分及Barthel指数均优于对照组(t=4.632,P=0.025;t=2.731,P=0.043),并发症发生率明显低于对照组(χ~2=31.071,P<0.001),对护理工作的满意度明显高于对照组(Z=-3.036,P=0.002)。结论系统性急救护理程序能够明显缩短重型颅脑损伤患者的抢救时间,提高抢救成功率,减少了并发症的发生,有利于患者的神经功能及自理能力的恢复,提高患者对护理工作的满意度,值得提倡和推广。
Objective To analyze the effect of systematic emergency nursing program used in emergency treatment of patients with severe traumatic brain injury. Methods Totally 142 patients with severe traumatic brain injury treated in our hospital between April 2015 and April 2016 were selected, and randomly divided into an observation group and a control group, each of 71 cases. The observation group was given systematic emergency nursing, while the control group was provided with routine emergency nursing during their emergency treatment. The first aid duration, the success rate, the national institute of＂ health stroke scale （NIHSS） score, Barthel index, complications and patients~ satisfaction were compared between the two groups. Results The rescue time of the observation group was significantly shorter than that of the control group （t 6.458, P=0. 002）, while the success rate of the former was significantly higher than the latter （X^2=4. 508, P=0. 034）. Moreover, the NIHSS score and Barthel index of the observation group after nursing were significantly better than those of the control group （t=4. 632, P=0. 025; t=2. 731,P=0.043）. The incidence of complication was significantly lower in the observation group than that of the control group（X^2=31. 071,P〈0. 001）, while the patients＇ satisfaction was significantly higher than the latter （Z=-3. 036, P=0. 002）. Conclusion The systematic emergency nursing can significantly shorten the time of first aid and improve the success rate of rescue for patients with severe traumatic brain, which is beneficial to the recovery of neurological function and self care ability, in addition to improving patients＇ satisfaction and reducing the occurrence of complications. Therefore, it is worthy of promotion and popularization.
作者
廖红艳
陈云云
LIAO Hongyan;CHEN Yunyun(Department of Emergency, The Central Hospital of Longhua District in Shenzhen, Shenzhen 518110, China)
出处
《中国临床护理》
2018年第3期245-248,共4页
Chinese Clinical Nursing
关键词
系统性急救护理程序
重型颅脑损伤
神经功能
自理能力
并发症
Systematic emergency nursing procedure
Severe traumatic brain injury
Neurological function
Self care ability
Complication
