摘要
目的探讨家属参与下的多重感觉刺激配合高压氧在颅脑损伤昏迷患者护理中的应用效果。方法以随机数字表法,将2018年1月至2020年10月入住重症加强护理病房(ICU)的80例颅脑损伤昏迷患者分为对照组40例,观察组40例。两组均接受常规护理,对照组实施高压氧干预,观察组在对照组基础上实施家属参与下的多重感觉刺激,观察两组干预前、干预8周后意识状态、神经电生理变化、8周内清醒率、并发症发生情况及家属护理满意度。结果干预前两组格拉斯哥昏迷量表(GCS)及昏迷恢复量表修订版(CRS-R)评分比较无明显差异(P>0.05),干预8周后观察组上述评分与对照组比较明显较高(P<0.05)。观察组8周内清醒率为72.50%,与对照组的47.50%比较,明显较高(P<0.05)。干预前两组脑干听觉诱发电位(BAEP)、体感诱发电位(SEP)、脑电图(EEG)评分比较无明显差异(P>0.05),干预8周后观察组上述评分与对照组比较明显较低(P<0.05)。观察组相关并发症发生率为5.00%,与对照组的20.00%比较明显较低(P<0.05)。观察组家属护理满意率为92.50%,与对照组的75.00%比较明显较高(P<0.05)。结论家属参与下的多重感觉刺激配合高压氧可有效改善颅脑损伤昏迷患者意识状态及神经电生理状况,提升促醒效果,减少相关并发症发生,并能提高家属护理满意度,值得推广。
Objective To explore the application effect of multiple sensory stimulation with family participation combined with hyperbaric oxygen on comatose patients with craniocerebral injury.Methods A total of 80 comatose patients with craniocerebral injury who were admitted to the intensive care unit(ICU)from Jan 2018 to Oct 2020 were divided into control group(40 cases)and observation group(40 cases)by the random number table method,both groups received routine nursing care,the control group received hyperbaric oxygen intervention,and the observation group received multiple sensory stimulation with family participation on the basis of the control group.The changes of consciousness state,neuroelectrophysiological before and after 8 weeks of intervention,the wakefulness rate within 8 weeks,the occurrence of complications and the nursing satisfaction of family of the two groups were observed.Results Before the intervention,there were no significant difference in the scores of the Glasgow coma scale(GCS)and the coma recovery scale-revised(CRS-R)between the two groups(P>0.05),after 8 weeks of intervention,compared with the control group at same time,the above scores in the observation group were significantly higher(P<0.05).The wakefulness rate within 8 weeks of the observation group was 72.50%,compared with the control group(47.50%),significantly higher(P<0.05).Before the intervention,there were no significant difference in the scores of brainstem auditory evoked potential(BAEP),somatosensory evoked potential(SEP),and electroencephalogram(EEG)between the two groups(P>0.05),after 8 weeks of intervention,compared with the control group at same time,the above scores in the observation group were significantly lower(P<0.05).The incidence of related complications in the observation group was 5.00%,compared with the control group(20.00%),significantly lower(P<0.05).The nursing satisfaction rate of family members in the observation group was 92.50%,compared with the control group(75.00%),significantly higher(P<0.05).Conclusion Mul
作者
堵慈峰
DU Cifeng(Intensive Care Unit, Wuxi People's Hospital, Wuxi 214000, China)
出处
《中国老年保健医学》
2021年第2期154-157,共4页
Chinese Journal of Geriatric Care
关键词
颅脑损伤
昏迷
感觉刺激
家属
高压氧
Craniocerebral injury
Coma
Sensory stimulation
Family members
Hyperbaric oxygen
