延续性护理干预对重型颅脑损伤患者康复效果的影响

摘要

目的 探讨延续性护理干预对神经外科重型颅脑损伤患者康复效果的影响.方法 选择2015年7月至2016年6月重型颅脑损伤患者60例,随机分为观察组和对照组各30例.两组患者住院期间均接受系统的健康教育和出院指导,对照组患者采取常规电话随访1次,观察组患者在此基础上采取延续性护理干预,6个月后比较两组患者康复护理依从性、并发症、生活自理能力及满意度情况.结果 观察组与对照组患者康复依从性评分分别为(12.26±1.76)分和(10.27±1.92)分,差异有统计学意义(t=2.448,P<0.05);满意度分别为96.67％和76.92％,差异有统计学意义(P<0.05);发生关节挛缩分别为1例和6例,差异有统计学意义(P<0.05);发生压疮分别为2例和8例,差异有统计学意义(P<0.05);生活自理能力评分分别为(71.81±5.79)分和(62.17±6.45)分(t=5.894,P<0.05).结论 实施延续性护理能提高患者康复护理依从性,减少并发症的发生,提高患者生活自理能力及满意度.%Objective To explore the effect of continuous nursing intervention on the rehabilitation of patients with severe traumatic brain injury in Department of Neurosurgery. Methods 60 patients with severe traumatic brain injury were randomly divided into the observation group and the control group from July 2015 to June 2016,each with 30 cases. During the period of hospitalization,the two groups of patients were accepted systematic health educationand and discharge guidance. The control group was taken with regular telephone follow-up once,the patients in the observation group were taken with continuous nursing intervention on the basis of the control group. After six months,the rehabilitation nursing compliance, complications,self-care ability and satisfaction of the two groups were compared and analyzed. Results The rehabilitation nursing compliance scores of the observation group and the control group were (12.26±1.76) and (10.27±1.92) points. The difference between the two groups were significantly different,with statistical significance(t=2.448,P<0.05);The satisfaction were 96.67％ and 76.92％ of the observation group and the control group, the difference between the two groups were significantly different,with statistical significance(P<0.05);One case of joint contracture happened in the observation group,while 6 cases in the control group. The difference between the two groups were significantly different,with statistical significance (P<0.05);Two cases of pressure ulcers occurred in the observation group,while 8 cases in the control group. The difference between the two groups were significantly different,with statistical significance (P<0.05); ADL scores were (71.81±5.79) and (62.17±6.45) points of the observation group and the control group (t=5.894,P<0.05). Conclusion The implementation of continuous nursing can improve the rehabilitation nursing compliance,reduce the occurrence of complications,and improve the self-care ability and satisfaction of patients.