摘要
目的:探讨重度颅脑损伤(severe brain injury,SBI)并发低钠血症的预警评分机制建立,并制定系统护理措施。方法:将2017年1月-2018年12月笔者所在医院收治的65例SBI患者纳入对照组,将2019年1-12月收治的62例SBI患者纳入研究组;对照组实施常规护理干预,研究组同时实施基于低钠血症预警评分的系统护理,对比两组患者住院时间、入院后2周低血钠症发生率、医疗费用的差异。结果:研究组低钠血症并发率(16.13%)低于对照组(40.00%),差异有统计学意义(P<0.05);研究组住院时间、医疗费用均显著低于对照组,差异有统计学意义(P<0.05)。结论:通过建立预警评分机制,并实施系统护理干预,有助于降低SBI患者低钠血症并发率,缩短住院时间,减轻医疗负担。
Objective:To explore the establishment of early warning scoring for severe brain injury(SBI)complicated with hyponatremia,and to formulate systematic nursing measures.Method:A total of 65 SBI patients admitted to our hospital from January 2017 to December 2018 were included in the control group,and 62 SBI patients admitted from January to December 2019 were included in the study group.While the control group received routine care,the research group also implemented systemic nursing based on the hyponatremia warning score.The differences in the length of hospitalization,the incidence of hyponatremia,and medical costs 2 weeks after admission between the two groups were compared.Result:The incidence of hyponatremia in the study group(16.13%)was lower than that in the control group(40.00%),and the difference was statistically significant(P<0.05).The length of hospital stay and medical expenses in the study group were significantly lower than those in the control group(P<0.05).Conclusion:The establishment of early warning scoring and the implementation of systematic nursing intervention can reduce the incidence of hyponatremia in SBI patients,shorten the length of hospital stay,and reduce the medical burden.
作者
陈国洪
郑爱萍
蔡珍烟
陈满
CHEN Guohong;ZHENG Aiping;CAI Zhenyan;CHEN Man(Affiliated Hospital of Putian University,Putian 351100,China;不详)
出处
《中外医学研究》
2020年第20期112-114,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
重度颅脑损伤
低钠血症
预警评分机制
系统护理
Severe craniocerebral injury
Hyponatremia
Early warning scoring mechanism
Systemic nursing
