摘要
目的探讨和分析在颅脑外伤合并大面积脑梗死患者中临床护理路径的应用效果。方法该次抽取2014年1月—2018年1月在青州市中医院医治的颅脑外伤合并大面积脑梗死患者(120例)当分析的对象,以入院顺序分乙组、甲组,每组60例。该次研究患者均一般护理,研究甲组加临床护理路径,总结神经功能缺损情况、运动功能情况、并发症、住院时间、住院花费、知晓健康教育程度与护理满意度。结果甲组的NIHSS评分(17.12±4.32)分小于乙组(25.25±6.74)分,差异有统计学意义(t=7.866,P=0.000)。甲组的FMA评分(41.44±6.58)分大于乙组(32.64±7.12)分,差异有统计学意义(t=7.031,P=0.000)。甲组并发症的总发生率(6.67%)小于乙组(20.00%),差异有统计学意义(χ~2=4.615,P=0.032)。甲组的住院时间(15.11±3.08)d小于乙组(19.52±3.61)d,差异有统计学意义(t=7.199,P=0.000)。甲组的住院花费(13 254.12±3 658.42)元小于乙组(16 724.15±4 256.33)元,差异有统计学意义(t=4.789,P=0.000)。甲组的知晓健康教育知识程度(93.25±2.58)分大于乙组(83.42±5.67)分,差异有统计学意义(t=12.223,P=0.000)。甲组的护理总满意度(94.12±2.11)分大于乙组(85.63±6.32)分,差异有统计学意义(t=9.870,P=0.000)。结论在颅脑外伤合并大面积脑梗死患者中,临床护理路径的应用效果确切,可缩短住院时间、减少住院花费,改善神经功能缺损、提高运动功能,减少并发症发生的概率,提高知晓健康教育程度以及护理满意度。
Objective To investigate and analyze the clinical application of clinical nursing pathways in patients with traumatic brain injury and large area cerebral infarction. Methods The patients who were treated with craniocerebral trauma and large-area cerebral infarction （120 cases） who were treated in Qingzhou Chinese Medicine Hospital from January 2014 to January 2018, were enrolled in groups B and A, with 60 cases in each group. In this study, patients were treated with general care, and the group A plus clinical nursing pathway was studied. The neurological deficits, motor function, complications, hospitalization time, hospitalization expenses, health education level and nursing satisfaction were summarized. Results The NIHSS score of group A （17.12±4.32）points was less than that of group B （25.25±6.74）points, which was statistically significant （t=7.866, P=0.000）. The FMA score of group A （41.44±6.58）points was greater than that of group B （32.64±7.12）points, which was statistically significant （t=7.031, P=0.000）. The overall incidence of complications in group A （6.67%） was lower than that in group B （20.00%）, which was statistically significant （χ2=4.615, P=0.032）. The hospital stay in group A （15.11±3.08）d was less than that in group B （19.52±3.61）d, which was statistically significant （t=7.199, P=0.000）. The hospitalization cost of group A（13 254.12±3 658.42）yuan was lower than that of group B （16 724.15±4 256.33）yuan, which was statistically significant（t=4.789, P=0.000）. The knowledge of health education in group A （93.25±2.58）points was greater than that in group B （83.42±5.67）points, which was statistically significant （t=12.223, P=0.000）. The total satisfaction of nursing in group A （94.12±2.11）points was greater than that in group B （85.63±6.32）points, which was statistically significant （t=9.870, P=0.000）. Conclusion In patients with craniocerebral trauma combined with large-area cerebral infarction, t
作者
李爱莲
李云萍
LI Ai-lian;LI Yun-ping(Quality Control Center,Qingzhou Traditional Chinese Medicine Hospital,Qingzhou,Shandong Province,262500 China;Department of Nursing,Qingzhou People＇s Hospital,Qingzhou,Shandong Province,262500 China)
出处
《系统医学》
2018年第19期169-171,189,共4页
Systems Medicine
关键词
颅脑外伤
大面积脑梗死
临床护理路径
应用效果
Craniocerebral trauma
Large area cerebral infarction
Clinical nursing pathway
Application effect
