重型颅脑损伤合并肺挫伤患者的护理干预

[摘要]目的探讨将护理干预应用于重型颅脑损伤合并肺挫伤患者中的临床效果。方法选取2014年5月～2016年5月在我院就诊的重型颅脑损伤合并肺挫伤患者80例,按照随机数字法则分为两组,每组40例患者,对照组采取常规护理的方式;实验组采取综合护理干论文网预方法,然后比较两组患者的临床疗效。肺部感染控制的时间及GCS评分和满意度。结果实验组患者的总有效率为87。5百分号,显著高于对照组(60。00百分号),差异统计学具有意义(P<0。05),对照组与实验组护理满意度分别为60。0百分号。92。5百分号,实验组高于对照组(P<0。05),在护理前,两组患者的GCS评分无显著性差异,实验组干预后GCS评分为(12。8±1。4)分,对照组为(4。8±1。3)分,干预后,实验组GCS评分显著高于对照组(P<0。05)。?φ兆榉尾扛腥究刂剖奔湮?(14。5±3。9)d,实验组肺部感染控制时间为(8。6±3。8)d,两组比较具有显著性的差异(P<0。05)。结论对重型颅脑损伤合并肺挫伤患者采取护理干预措施,临床恢复疗效显著,肺部感染控制时间明显缩短,并且预后GCS评分明显增高,可以有效地促进患者痊愈。

[中图分类号]R473。6[文献标识码]B[文章编号]1673-9701(2017)15-0128-04

[Abstract]ObjectiveToexploretheclinicaleffectofnursinginterventioninpatientswithseverecraniocerebralinjurycombinedwithpulmonarycontusion。MethodsEightypatientswithseverecraniocerebralinjurycombinedwithpulmonarycontusioninourhospitalfromMay2014toMay2016wereselected。Accordingtotherandomnumbermethod,thepatientsweredividedintotwogroups,with40patientsineachgroup。Thecontrolgroupwasgivenroutinenursing,andtheexperimentalgroupwastreatedwithcomprehensivenursinginterventionmethod。Thentheclinicalefficacy,thetimeoflunginfectioncontrol,GCSscoreandsatisfactionbetweenthetwogroupswerecompared。ResultsThetotaleffectiverateofthepatientsintheexperimentalgroupwas87。5百分号,whichwassignificantlyhigherthanthatofthecontrolgroup(60。0百分号),andthedifferencewasstatisticallysignificant(P<0。05)。Thesatisfactionratesofthecontrolgroupandtheexperimentalgroupwere60。0百分号,92。5百分号,respectively。Thesatisfactionrateoftheexperimentalgroupwashigherthanthatofthecontrolgroupbystatisticalcomparison(P<0。05)。Beforenursing,therewasnosignificantdifferenceinGCSscoresbetweenthetwogroups。TheGCSscoreoftheexperimentalgroupwas(12。8±1。4)points,andtheGCSscorewas(4。8±1。3)pointsinthecontrolgroup(P<0。05)。ThescoreofGCSintheexperimentalgroupwassignificantlyhigherthanthatinthecontrolgroupafterintervention(P<0。05)。Thecontroltimeofpulmonaryinfectioninthecontrolgroupwas(14。5±3。9)days,andthecontroltimeoflunginfectionintheexperimentalgroupwas(8。6±3。8)days,andtherewassignificantdifferencebetweenthetwogroups(P<0。05)。ConclusionNursinginterventiontakeninpatientswithseverecraniocerebralinjuryandpulmonarycontusionhassignificantclinicalrecovery,whichshortensthecontroltimeoflunginfectionandsignificantlyincreasestheprognosisofGCS,andcaneffectivelypromotetherecoveryofpatients。综上所述,对于重型颅脑损伤合并肺挫伤患者,分析其致病的原因,然后采取有效的护理干预措施,不仅可以显著提高临床疗效,还会改善患者的预后生活质量,可以在临床上推广应用。

重型颅脑损伤合并肺挫伤患者的护理干预