Objective:To investigate the application effect of predictive nursing procedure in care of patients with simultaneous operation of skull defect complicated hydrocephalus. Methods;68 patients of decompressive craniotomy performed with simultaneous operation of skull defect complicated hydrocephalus from January 2009 to September 2012 were randomly assigned into the control group and the observation group according to the principle of informed consent ,34 cases in each group. The control group was given conventional brain surgery nursing. On the basis of the observation group was given predictive nursing procedure. The occurred complications, hospitalization time,hospital costs and satisfaction degree with nursing care for the two groups were compared. Results ; In the observation group, the incidence rate of complications such as local incision infection and shunt tube obstruction was significantly lower than the control group (P < 0.05). The hospitalization time of the observation group was significantly shorter than the control group, and the hospital costs were lower than the control group (P <0.05). The satisfaction degree of the observation group with nursing care was significantly higher than the control group ( P < 0.05 ). Conclusion: The predictive nursing for patients with simultaneous operation of skull defect complicated hydrocephalus can reduce the major complications, elevate achievement ratio of operation,reduce hospitalization time and hospital costs,facilitate the early recovery of the patients,and increase the patients' satisfaction.%目的:探讨对颅骨缺损伴脑积水同期手术患者实施预见性护理程序的临床效果.方法:选取2009年1月～2012年9月脑外伤去骨瓣减压术后需行同期颅骨修补联合脑室-腹腔分流手术患者68例,按随机数字表法分为对照组和观察组各34例.对照组给予脑外科常规护理,观察组在常规护理的基础上实施预见性护理程序.比较两组患者相关并发症发生情况、住院时间及住院费用,并对护理满意度进行调查.结果:观察组术后并发症的发生率低于对照组(P ＜0.05),平均住院时间、平均住院费用均短于或低于对照组(P＜0.05),患者或家属对临床护理的满意度高于对照组(P＜0.05).结论:对颅骨缺损伴脑积水同期手术患者实施预见性的护理程序有助于减少并发症的发生,提高手术成功率,缩短住院时间,降低治疗费用,促进患者早日康复,提高患者满意度.
展开▼
