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目的研究早期集束化护理方案预防颅脑外伤患者不良事件的临床效果。方法抽选2012年8月—2014年6月本院收治的颅脑外伤患者154例,分为观察组(n=77)和常规组(n=77),常规组患者给予常规护理,观察组在常规护理基础上给予集束化护理。比较两组患者不良事件发生率和护理满意度,计数资料采用χ2检验,Fugl-Meyer运动功能(Fugl-Meyer motor assessment scale,FMA)、功能独立性评分(functional independence measure,FIM)和格拉斯昏迷指数(Glasgow coma scale,GCS)评分比较行t检验,P<0.05为差异有统计学意义。结果观察组不良事件发生率为15.58%,与常规组(45.05%)比较差异有统计学意义(P<0.05)。观察组护理后FMA、FIM、GCS评分[(71.3±2.8)、(83.6±11.2)、(13.2±1.6)分]与常规组[(62.6±3.5)、(63.2±23.4)、(10.1±1.3)分]比较差异均有统计学意义(均P<0.05)。观察组护理总满意率为84.41%,与对照组(61.04%)比较差异有统计学意义(P<0.05)。结论集束化护理能显著减少颅脑外伤患者不良事件发生率,增加患者运动功能、功能独立性,提高护理满意度。
Objective To study the clinical effect of early cluster nursing program on prevention of adverse events in patients with craniocerebral trauma. Methods 154 patients with craniocerebral trauma who were admitted to our hospital from August 2012 to June 2014 were randomly divided into observation group (n = 77) and conventional group (n = 77). Patients in conventional group were given routine nursing care and observation group On the basis of routine care to give intensive care. The incidence of adverse events and nursing satisfaction were compared between the two groups. Chi-square test, Fugl-Meyer motor assessment scale (FMA), functional independence measure (FIM) and Gras coma (Glasgow coma scale, GCS) scores compared t test, P <0.05 for the difference was statistically significant. Results The incidence of adverse events in the observation group was 15.58%, which was significantly different from that in the conventional group (45.05%) (P <0.05). The score of FMA, FIM and GCS in the observation group was significantly higher than that in the control group [(71.3 ± 2.8), (83.6 ± 11.2), (13.2 ± 1.6) points) and (62.6 ± 3.5), (63.2 ± 23.4) and (10.1 ± 1.3 ) Points] were statistically significant differences (all P <0.05). The total satisfaction rate in the observation group was 84.41%, which was significantly different from that in the control group (61.04%) (P <0.05). Conclusion Cluster nursing can significantly reduce the incidence of adverse events in patients with traumatic brain injury, increase motor function, functional independence, and improve nursing satisfaction.