| 摘要 |
探讨个性化急诊护理应用于重度f员脑损伤合并意识障碍患者的效果, 为提高急救护理水平提供提论依据。方法 选取2013年6月至2015年6月我院急诊收治的重度f员脑损伤合并意识障碍患者共64例进行回顾性分析, 根据是否接受个性化急救护理将所有患者随机分为观察组(32例)与对照组(32例),使用格拉斯(GCS)评分法进行评价与比较,同时对比两组的护理工作满意度。结果 两组患者经过不同护理后,入院3d、7d和10d的時眼、言语、运动反应及 GCS评分均较入院1d有所改善(P<0. 05) 。但对同一时期的各项反应与 GCS评分进行组间比较,则观察组患者各项指标优于对照组,差异有统计学意义(P<0.05)。至入院10d,对照组脑病发生率为31.25%,高于观蔡组的12.50%,而护理满意率为51. 8%为,较观蔡组77.8%低, 差异均有统计学意义 (P<0. 05) 。 结论 重度频脑损伤合并意识障碍患者抢救过程应合理安排救治顺序, 明确损伤主次部位, 密切监护病情, 在此基础上, 制定切实可行的个性化护理对策, 针对患者意识障碍进行安全有效的护理, 提高患者生活质量, 改善预后 。
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| Abstract |
〇bjective To discuss the effect of personalized emergency nursing for patients with severe cranio_cerebral injury combined with conscious disorder. Methods 64 patients with severe craniocerebral injury combined with conscious disorder from June. 2013 to June. 2015 in the emergency department were retrospective analyzed. All patients were divided into2 groups randomly according to whether or not to receive personalized emergency nurs- ing. GCS grading methods were carried for both groups, the results and the degrees of satisfaction between them were compared as well. Results The eye response, the verbal response, the motion response and GCS scores on the3rd, 7th, 10th day after admission were all better than on theist day. Also, at the same time, the indicators of the observation group patients were better than the control group. On the 10th day after admission, the cerebral hernia incidence rate of the control group was31.25%, while the observation group wast2.50%. The nursing satis- faction rate of the control group was51. 8%, while it was77. 8% in observation group. All the dif「erences had statis- tical significance. Conclusion The rescue process for patients with severe craniocerebral injury complicated with cognitive disorder should be reasonable arranged. 0n this basis, it plays an important role in improving the quality of 1ife and to carry out safe and effective nursing care for patients with cognitive disorders.
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