摘要
目的探讨综合护理模式对重症脑外伤术后昏迷患者压力性损伤的预防与治疗作用。方法选取2018年1月~2019年9月本院收治的重症脑外伤昏迷的住院患者80例为研究对象,按照随机数字表法分为两组,各40例。对照组采用常规护理,观察组采用综合护理,比较两组压力性损伤严重程度分级情况;比较干预前后两组格拉斯哥昏迷评分;比较两组发生的与压力性损伤相关并发症;统计两组压力性损伤创面愈合情况。结果观察组压力性损伤严重程度中Ⅰ级和Ⅱ级比例显著高于对照组(P<0.05),且均为见无法分级病例,干预后两组格拉斯哥昏迷评分均显著高于干预前(P<0.05),且干预后观察组格拉斯哥昏迷评分高于干预后对照组(P<0.05),观察组发生骶尾部褥疮、关节褥疮、坠积性肺炎及泌尿系统感染的比例均显著低于对照组(P<0.05),观察组压力性损伤创面愈合时间显著早于对照组(P<0.05)。结论针对重症脑外伤手术昏迷患者可能发生的压力性损伤,实施综合护理干预,能有效的减少压力性损伤发生率和降低其严重程度,促进患者神经功能恢复,减少并发症发生,改善预后。
Objective To explore the preventive and therapeutic effects of comprehensive nursing mode on pressure injury in coma patients after severe brain trauma surgery.Methods 80 coma inpatients with severe brain trauma admitted to our hospital from January 2018 to September 2019 were selected as the study subjects.They were divided into two groups according to the random number table method,with 40 patients in each group.The control group received routine nursing care,and the observation group received comprehensive nursing.The severity of pressure injuries,Glasgow coma scores before and after intervention,complications related to pressure injuries,and woundhealing were compared between the two groups.Results The proportions of gradeⅠand gradeⅡin the severity of pressure injury in the observation group were significantly higher than those in the control group(P<0.05),and all cases could not be classified;Glasgow coma scores after intervention in the two groups were significantly higher than those before intervention(P<0.05),and the Glasgow coma score in the observation group after the intervention was higher than that in the control group(P<0.05);The rates of occurrence of sacrococcygeal bedsores,articular bedsores,epidemic pneumonia and urinary system infection in the observation group were significantly lower than those in the control group(P<0.05);The healing time of pressure injury wounds in the observation group was significantly earlier than that in the control group(P<0.05).Conclusion The application of comprehensive nursing mode on pressure injury in coma patients after severe brain trauma surgery can effectively reduce the incidence and severity of pressure injuries,promote the recovery of neurological function,reduce complications and improve the prognosis of patients.
作者
张茹茹
念婷婷
ZHANG Ruru;NIAN Tingting(Intensive Care Unit,Brain Hospital,Liaocheng People's Hospital,Shandong,Liaocheng 252000,China)
出处
《中国医药科学》
2020年第8期140-143,共4页
China Medicine And Pharmacy
关键词
综合护理模式
重症
脑外伤
术后昏迷
压力性损伤
预防与治疗
Comprehensive nursing mode
Severe
Brain trauma
Postoperative coma
Pressure injury
Prevention and treatment
