摘要
目的探讨延续护理干预应用于重型颅脑损伤患者中的作用。方法将2014年1月—2015年1月于医院治疗且出院的200例重型颅脑损伤患者按照护理方法不同分为对照组与干预组,每组各100例。对照组于患者出院时给予必要的出院指导和健康教育,出院后采用电话形式予以回访;干预组在对照组基础上实施延续性护理。分别于干预前、干预2个月后采用日常生活活动量表评价两组患者日常生活能力,采用神经功能缺损量表评价其神经功能;采用医院自制问卷调查表调查其满意度及依从性。随访2年,统计患者生存状况。结果 2个月内,所有患者无死亡,干预组干预2个月后ADL评分明显高于对照组;干预组干预2个月后神经功能缺损评分为(13.62±2.02)分,明显低于对照组的(16.75±3.26)分。随访2年,两组1年生存率均为100.0%,干预组随访第2年生存率为88.0%,明显高于对照组的75.0%(χ~2=5.60,P=0.01)。结论实施延续护理干预可有助于提高重型颅脑损伤患者治疗依从性和日常生活能力,更好地改善其神经功能,提高其生存率,最终有助于提高其满意度。
OBJECTIVE To explore the role of extended nursing intervention in patients with severe craniocerebral injury. METHODS 200 patients with severe craniocerebral injury who were treated and discharged from January 2014 to January 2015 were divided into control group and intervention group according to different nursing methods. The control group was given the necessary discharge at the time of discharge guidance and health education, interviewed after discharge by telephone, intervention group in the control group on the basis of the implementation of persistent care. Before and after intervention, the daily living ability was evaluated by us- ing the daily living activity scale after 2 months of intervention. The neurological function was evaluated by the neurological deficit scale. The hospital self-designed questionnaire was used to investigate the satisfaction and compliance. Followed up for 2 years, sta- tistics of patient survival. RESULTS The ADL score in the intervention group was significantly higher than that of the control group in- tervention group 2 （13.62＋2.02） points, which was significantly lower than that of the control group （16.75＋3.26）. The 1-year surviv- al rate was 100.0% and the survival rate was 88.0% in the intervention group, which was significantly higher than that in the control group 75.0%（X2=5.60,P=0.01）. CONCLUSION Extended nursing intervention could help to improve the curative compliance and dai- ly living capacity of patients with severe cranioeerebral injury, better improve their neurolngical function and survival rate, so as to improve the satisfaction
作者
刘淑卿
张春华
LIU Shu-qing ZHANG Chun-hua(The Affiliated Pudong Hospital of Fudan University, Shanghai Pudong Hospital, Shanghai, 201399, China)
出处
《中国初级卫生保健》
2017年第9期80-81,共2页
Chinese Primary Health Care
关键词
重型颅脑损伤
延续护理
神经功能
日常生活能力
满意度
severe craniocerebral injury
continual care
neurological function
daily life ability
satisfaction
