The effect of comprehensive nursing intervention on perioperative treatment and prognosis of patients with acute brain injury
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摘要: 目的 探究综合护理干预对急性脑外伤患者围术期抢救效果及预后的影响.方法 将本院收治的122例急性脑外伤患者作为研究对象,按入院先后分为综合护理组68例和常规护理组54例,分别给予综合护理干预和常规护理干预.就2组患者在围术期的抢救效果及预后情况进行对比性分析.结果 综合护理组的抢救进行时间以及住院时间均低于常规护理组,且综合护理组的死亡率(1.47％)也低于常规护理组(9.26％),差异有统计学意义(P＜0.05).护理干预后,综合护理组的NIHSS评分低于常规护理组,其GCS评分、FMA评分以及Barthel指数均显著高于常规护理组(P＜0.05).综合护理组患者的并发症发生率为8.82％,显著低于常规护理组(24.07％),组间比较有统计学意义(P＜0.05).结论 综合性护理干预能够提高急性脑外伤的抢救效果,同时使其神经认知功能、肢体运动功能及日常生活能力得到显著改善,并发症发生率显著降低,值得在临床上积极推广.Abstract: Objective To explore the effect of comprehensive nursing intervention on perioperative treatment and prognosis of patients with acute brain injury.Methods A total of 122 patients with acute brain injury in our hospital were selected as the research objects,and were divided into the comprehensive nursing group (n =68) and the routine nursing group (n =54) according to hospital admission,given comprehensive nursing intervention and routine nursing intervention,respectively.During the perioperative period,the effect and prognosis of the two groups were compared.Results The rescue time and hospital stay in comprehensive nursing group were lower than that in routine nursing group,and the mortality rate of the comprehensive nursing group (1.47 ％) was lower than that of the conventional nursing group (9.26％),and the differences were statistically significant (P ＜ 0.05).After nursing intervention,the NIHSS score of the comprehensive nursing group was lower than that of the conventional nursing group,the GCS score,FMA score and Barthel index were significantly higher than that of the conventional nursing group (P ＜ 0.05).The incidence of complications in the comprehensive nursing group was 8.82％,which was significantly lower than 24.07％ of the routine nursing group,and there was statistical significant difference (P ＜ 0.05).Conclusion Comprehensive nursing intervention can improve the rescue effect of acute cerebral trauma,significantly improve the neurocognitive function,limb motor function and activities of daily living (ADL),and decrease complication rate,so it is worth in clinical practice.
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期刊类型引用(17)
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