摘要
目的探讨呼唤式护理对重型颅脑损伤昏迷患者格拉斯哥昏迷评分(GCS)的影响。方法选取2020年1月至2020年12月上海交通大学医学院附属仁济医院收治的87例重型颅脑损伤且伴昏迷患者,按照随机数字表法分为对照组(44例)和观察组(43例)。对照组患者接受常规护理,观察组患者接受呼唤式护理,比较两组患者的意识状态、生活质量、护理满意率和术后并发症发生率。结果护理后,观察组GCS评分为12~15分的构成比显著高于对照组(P<0.05),≤8分的构成比显著低于对照组(P<0.05)。护理后,两组的生理、心理、社会关系和周围环境评分均显著高于同组护理前(P值均<0.05),且观察组的上述评分均显著高于对照组(P值均<0.05)。观察组的护理总满意率为97.67%,显著高于对照组的77.27%(P<0.05)。观察组的并发症总发生率为11.63%,显著低于对照组的31.82%(P<0.05)。结论呼唤式护理应用于重型颅脑损伤且伴昏迷的患者,可提高其生存质量,改善其意识状态,降低并发症发生率,且提升其护理满意率。
Objective To explore the effect of calling type nursing on Glasgow coma scale(GCS)scores in coma patients with severe craniocerebral injury.Methods A total of 87 coma patients with severe craniocerebral injury admitted to Renji Hospital,School of Medicine,Shanghai Jiao Tong University from January 2020 to December 2020 were selected and divided into a control group(44 cases)and an observation group(43 cases)by the random number table method.The control group was given routine nursing,and the observation group was given calling type nursing.The level of consciousness,quality of life,nursing satisfaction,and incidence of postoperative complications were compared between the two groups.Results After nursing,the composition ratio of the observation group with a GCS score of 12-15 was significantly lower than that of the control group(P<0.05),and the composition ratio of the observation group with a GCS score of≤8 was significantly lower than that of the control group(P<0.05).After nursing,the scores of physiology,psychology,social relations and environment of the two groups were significantly higher than those before nursing(all P<0.05),and the above scores of the observation group were significantly higher than those of the control group(all P<0.05).The overall nursing satisfaction rate of the observation group was 97.67%,which was significantly higher than 77.27%of the control group(P<0.05).The overall complication rate of the observation group was 11.63%,which was significantly lower than 31.82%of the control group(P<0.05).Conclusion Calling type nursing is applied to coma patients with severe craniocerebral injury,which can improve the quality of life and level of consciousness,reduce the incidence of complications,and increase nursing satisfaction rate.
作者
刘钰
吕明明
马蓉
LIU Yu;LYU Ming-ming;MA Rong(Intensive Care Unit of Department of Neurosurgery,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,200120,China)
出处
《中西医结合护理（中英文）》
2021年第4期29-32,共4页
Journal of Clinical Nursing in Practice
关键词
呼唤式护理
颅脑损伤
昏迷
格拉斯哥昏迷评分
calling type of nursing
severe craniocerebral injury
coma
Glasgow coma scale
