重型颅脑损伤合并肺挫伤患者的护理干预
本word文档 可编辑 可修改重型颅脑损伤合并肺挫伤患者的护理干预 目的探讨将护理干预应用于重型颅脑损伤合并肺挫伤患者中的临床效果方法选取2014年5月2016年5月在我院就诊的重型颅脑损伤合并肺挫伤患者80例,按照随机数字法则分为两组,每组40例患者,对照组采取常规护理的方式;实验组采取综合护理干预方法,然后比较两组患者的临床疗效肺部感染控制的时间及GCS评分和满意度结果实验组患者的总有效率为87.5%,显著高于对照组(60.00%),差异统计学具有意义(PR473.6B1673-9701(2017)15-0128-04 AbstractObjectiveToexploretheclinicaleffectofnursinginterventioninpatientswithseverecraniocerebralinjurycombinedwithpulmonarycontusion.MethodsEightypatientswithseverecraniocerebralinjurycombinedwithpulmonarycontusioninourhospitalfromMay2014toMay2016wereselected.Accordingtotherandomnumbermethod,thepatientsweredividedintotwogroups,with40patientsineachgroup.Thecontrolgroupwasgivenroutinenursing,andtheexperimentalgroupwastreatedwithcomprehensivenursinginterventionmethod.Thentheclinicalefficacy,thetimeoflunginfectioncontrol,GCSscoreandsatisfactionbetweenthetwogroupswerecompared.ResultsThetotaleffectiverateofthepatientsintheexperimentalgroupwas87.5%,whichwassignificantlyhigherthanthatofthecontrolgroup(60.0%),andthedifferencewasstatisticallysignificant(P<0.05).Thesatisfactionratesofthecontrolgroupandtheexperimentalgroupwere60.0%,92.5%,respectively.Thesatisfactionrateoftheexperimentalgroupwashigherthanthatofthecontrolgroupbystatisticalcomparison(P<0.05).Beforenursing,therewasnosignificantdifferenceinGCSscoresbetweenthetwogroups.TheGCSscoreoftheexperimentalgroupwas(12.8±1.4)points,andtheGCSscorewas(4.8±1.3)pointsinthecontrolgroup(P<0.05).ThescoreofGCSintheexperimentalgroupwassignificantlyhigherthanthatinthecontrolgroupafterintervention(P<0.05).Thecontroltimeofpulmonaryinfectioninthecontrolgroupwas(14.5±3.9)days,andthecontroltimeoflunginfectionintheexperimentalgroupwas(8.6±3.8)days,andtherewassignificantdifferencebetweenthetwogroups(P<0.05).ConclusionNursinginterventiontakeninpatientswithseverecraniocerebralinjuryandpulmonarycontusionhassignificantclinicalrecovery,whichshortensthecontroltimeoflunginfectionandsignificantlyincreasestheprognosisofGCS,andcaneffectivelypromotetherecoveryofpatients.综上所述,对于重型颅脑损伤合并肺挫伤患者,分析其致病的原因,然后采取有效的护理干预措施,不仅可以显著提高临床疗效,还会改善患者的预后生活质量,可以在临床上推广应用