中西医结合护理在颅脑外伤患者康复期中的应用效果评价

摘要

Objective To explore the effect of traditional Chinese and western nursing care for patients with craniocerebral trauma during rehabilitation.Methods 100 patients with craniocerebral trauma during rehabilitation were divided into an observation group and a control group.All the patient received conventional western nursing care.In addition,the observation group received traditional Chinese nursing care.The differences of psychological symptoms,rehabilitation effects,complication rates,life quality,and nursing service satisfaction were compared between the two groups.Results The level of psychological symptoms and complication rate were lower and the rehabilitation effect,life quality,and nursing service satisfaction were higher in the observation group than in the control group.Conclusions Traditional Chinese and western nursing care for patients with craniocerebral trauma during rehabilitation plays a positive role and can reduce the psychological symptoms and complication,improve the rehabilitation effect and their life quality,and increase the nursing service satisfaction.%目的 探讨中西医结合护理在颅脑外伤患者康复期中的应用效果.方法 以我院2012年1月至2013年7月间,收治的100例各类颅脑损伤患者为研究对象,将患者随机分为观察组及对照组,所有患者均积极治疗原发疾病,并进行相应的护理操作及康复措施.观察组在此基础上,增加本研究中的中医护理内容.比较两组患者干预前后心理症状的水平、康复的效果、并发症的发生率、生活质量得分及护理服务满意度之间的差异.结果 观察组患者在焦虑与抑郁两项心理症状的比较中,在干预后1周及1月时,皆小于对照组.观察组患者干预后FMA、ADL和Barthel指数分别为(71.76±12.74)分、(67.36±14.37)分和(69.98±11.83)分,对照组分别为(60.70±11.63)分、(55.37±12.10)分和(60.26±12.07)分,观察组患者康复效果高于对照组,在治疗过程中,观察组患者并发症发生率为14.00％,对照组为36.00％,观察组患者并发症发生率低于对照组.同时,观察组患者生活质量和护理满意度得分均高于对照组,上述比较差异均具有统计学意义(P＜ 0.05).结论 中西医结合护理可以在颅脑外伤康复期患者的护理中发挥积极作用,其可以降低患者焦虑与抑郁等心理症状水平、提高患者康复效果、降低治疗期间相关并发症发生率、改善患者生活质量和护理服务满意度.