急救护理联合手术室护理在重症颅脑损伤患者中的应用效果

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摘要目的探讨急救护理联合手术室护理对重症颅脑损伤患者术后并发症发生、护理满意度的影响。方法选取本院2020年采用常规护理模式的43例重症颅脑损伤患者作为对照组,2021年实施急救护理联合手术室护理的43例重症颅脑损伤患者作为观察组。比较2组急救护理质量、并发症发生情况、预后情况、护理满意度。结果观察组急诊科救治时间、院前急救反应时间分别为(16.28±3.42)min、(11.36±1.95)min,明显短于对照组的(21.54±4.09)min、(15.03±2.31)min(t=6.470、7.961,P均＜0.001);观察组并发症发生率为9.30%,低于对照组的58.13%(P＜0.001);观察组处置后KPS评分为(86.36±6.38)分,高于对照组的(79.81±7.61)分(t=4.325,P＜0.001);观察组护理技能、护理态度、病房环境、病情解释等维度评分及总分分别为(3.40±0.49)分、(3.49±0.55)分、(3.44±0.55)分、(3.51±0.51)分、(13.46±1.25)分,均高于对照组的(2.98±0.56)分、(3.02±0.60)分、(2.98±0.41)分、(3.07±0.46)分、(12.05±1.64)分(t=3.701、3.787、4.397、4.201、4.484,P均＜0.001)。结论急救护理联合手术室护理能提高重症颅脑损伤患者的急救护理质量,有效预防并发症,改善预后,具有较高的护理满意度。　

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	李可
	常素霞

关键词 ：急救护理, 手术室护理, 重症颅脑损伤

Abstract：Objective To investigate the effect of emergency nursing combined with operating room nursing on the occurrence of postoperative complications and nursing satisfaction in patients with severe craniocerebral injury. Methods A total of 43 patients with severe craniocerebral injury who implemented routine nursing mode in 2020 were selected as a control group and 43 patients with severe craniocerebral injury who underwent emergency nursing combined with operating room nursing in 2021 were selected as an observation group. The quality of emergency care, the occurrence of complications, prognosis, and nursing satisfaction were compared between the two groups. Results The treatment time and pre-hospital emergency response time of the observation group were (16.28±3.42) min and (11.36±1.95) min, respectively, which were significantly shorter than those in the control group (21.54±4.09) min and (15.03±2.31) min (t=6.470, 7.961, both P<0.001). The complication rate in the observation group was 9.30%, which was lower than 58.13% of the control group (P<0.001). The KPS score of the observation group after treatment was (86.36±6.38), which was higher than that of the control group: (79.81±7.61) (t=4.325, P<0.001). The nursing skills, nursing attitudes, ward environment, and disease interpretation scores and total scores of the observation group were (3.40±0.49) (3.49±0.55) (3.44±0.55) (3.51±0.51) and (13.46±1.25), respectively, which were higher than those of the control group: (2.98±0.56) (3.02±0.60) (2.98±0.41) (3.07±0.46), and (12.05±1.64) (t=3.701, 3.787, 4.397, 4.201, 4.484, all P<0.001). Conclusion The emergency nursing combined with operating room nursing can improve the quality of emergency nursing for patients with severe craniocerebral injury, effectively prevent complications, improve prognosis, and have high nursing satisfaction.

Key words： Emergency nursing Operating room nursing Severe craniocerebral injury

收稿日期: 2022-08-29

ZTFLH:

R473

作者简介: 李可(1980—),女,河南商丘人,主管护师,本科学历,研究方向为临床护理。

引用本文:

李可,常素霞. 急救护理联合手术室护理在重症颅脑损伤患者中的应用效果[J]. 中国校医, 2023, 37(8): 606-609.
LI Ke, CHANG Suxia. Application effect of emergency nursing combined with operating room nursing in patients with severe craniocerebral injury. Chinese Journal of School Doctor, 2023, 37(8): 606-609.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2023/V37/I8/606

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