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目的探讨呼唤式护理干预对重型颅脑损伤昏迷患者生活质量的影响,并评价其满意度。方法选择该院2013年1月—2014年10月重型颅脑损伤昏迷患者52例,随机分为对照组和干预组,二组各26例,对照组应用常规护理;干预组应用呼唤式护理干预。评估神经功能缺损程度(AS)、Barthel指数(BI指数),评估患者日常生活能力、采用FMA量表评分法(FM)评估肢体功能、并进行生活质量综合评估、评估患者清醒时间及护理服务的满意度。结果干预组治疗后AS评分为17.22±0.60,低于对照组治疗后21.19±0.58(P<0.05);干预组治疗后BI和FM评分分别为67.64±1.33和79.29±1.76,均高于对照组治疗后63.78±1.29和75.51±1.96(P<0.05);干预组护理后总体生活质量为68.26±2.13,高于对照组64.12±2.04(P<0.05);干预组干预后躯体功能、情绪功能、认知功能、社会功能和角色功能分别为66.40±1.29、64.25±1.73、70.26±2.51、87.11±1.88和71.14±2.12,均高于对照组(P<0.05);干预组总满意率为92.31%(24/26),高于对照组73.08%(19/26)(P<0.05)。干预组患者清醒时间结果为(63.21±3.57)h,少于对照组(68.34±3.91)h(P<0.05)。结论呼唤式护理干预能够加速重型颅脑损伤昏迷患者清醒,提高其生活质量,护理满意度评价较高。
Objective To investigate the effect of call-type nursing intervention on the quality of life of patients with coma after severe craniocerebral injury and to evaluate their satisfaction. Methods Fifty-two patients with severe traumatic brain injury and coma from January 2013 to October 2014 in our hospital were randomly divided into control group and intervention group, with 26 cases in each group. The control group received routine nursing intervention. The intervention group received the call-type nursing intervention . Assess the degree of neurological deficit (AS), Barthel index (BI index), assess the daily living ability of patients, use FMA scale to evaluate the function of limbs, and make a comprehensive assessment of quality of life, evaluate the patient’s awake time and nursing service Satisfaction. Results The score of AS in the intervention group was 17.22 ± 0.60, which was lower than 21.19 ± 0.58 (P <0.05) after treatment in the intervention group. The scores of BI and FM in the intervention group were 67.64 ± 1.33 and 79.29 ± 1.76, respectively, which were higher than those in the control group After treatment, the total quality of life of the intervention group was 68.26 ± 2.13, which was higher than that of the control group (64.12 ± 2.04) (P <0.05); After intervention, the body function, emotional function, The cognitive function, social function and role were 66.40 ± 1.29,64.25 ± 1.73,70.26 ± 2.51,87.11 ± 1.88 and 71.14 ± 2.12, respectively, which were higher than those in the control group (P <0.05). The total satisfaction rate in the intervention group was 92.31% (24/26), higher than the control group 73.08% (19/26) (P <0.05). The awake time of the intervention group was (63.21 ± 3.57) h, less than that of the control group (68.34 ± 3.91) h (P <0.05). Conclusion Call nurse intervention can accelerate the awakening of patients with coma of severe traumatic brain injury and improve their quality of life, and their nursing satisfaction is high.