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目的探究颅脑外伤手术患者术后躁动原因分析及针对性护理干预效果,旨在提升术后患者护理水平。方法选取我院2015年1月—2017年3月收治的86例颅脑外伤术后躁动患者作为研究对象,分析患者术后躁动原因,并对患者实施针对性护理干预,对比干预前后患者躁动评分、不良事件发生情况及患者护理满意程度。结果患者术后躁动原因包括病房环境影响、失血、颅内压增高、呼吸道不畅、额叶颞叶脑挫裂伤导致精神症状、非疾病因素;针对性护理干预后患者躁动评分优于对照组,不良事件发生率为0.00%,低于护理干预前(4.65%),患者满意率为100.00%,高于干预前(93.02%),差异具有统计学意义(P<0.05)。结论颅脑外伤手术患者术后躁动原因较为复杂,采取针对性护理干预十分必要,有效的护理干预可改善患者躁动,降低不良事件发生率,提升患者满意度。
Objective To investigate the causes of postoperative agitation in patients with traumatic brain injury and the effect of targeted nursing interventions so as to improve the nursing level of postoperative patients. Methods Eighty-six patients with post-traumatic brain injury admitted to our hospital from January 2015 to March 2017 were selected as the research object. The causes of postoperative agitation were analyzed and the patients were treated with specific nursing intervention. The scores of agitation before and after the intervention were compared , The occurrence of adverse events and patient care satisfaction. Results Postoperative agitation caused by ward environment, blood loss, increased intracranial pressure, poor respiratory tract, frontal lobe temporal lobe contusion leading to mental symptoms and non-disease factors; perturbation after targeted nursing intervention was superior to the control group , The incidence of adverse events was 0.00%, lower than before nursing intervention (4.65%), patient satisfaction rate was 100.00%, higher than before intervention (93.02%), the difference was statistically significant (P <0.05). Conclusions The reason of postoperative agitation in patients with craniocerebral trauma is more complex. It is necessary to take targeted nursing interventions. Effective nursing intervention can improve patient agitation, reduce the incidence of adverse events and improve patient satisfaction.