CAJ | 학술논문

目的：探讨预见性护理在重度颅脑损伤合并肺挫伤患儿中的应用效果。方法将60例重度颅脑损伤合并肺挫伤的患儿分为观察组和对照组各30例，对照组采用常规护理，观察组在对照组的基础上采用预见性护理，比较2组的护理效果。结果观察组的血氧饱和度高于对照组，出现感染的时间长于对照组，感染率、病死率低于对照组，出院前 Karnofsky 预后评分高于对照组，住院时间短于对照组，差异有统计学意义（P ＜0.05）；观察组家属的护理满意度高于对照组，差异有统计学意义（P ＜0.05）。结论预见性护理能够起到前瞻性护理的作用，可有效降低重度颅脑损伤合并肺挫伤患儿的感染率，改善预后。
목적：탐토예견성호리재중도로뇌손상합병폐좌상환인중적응용효과。방법장60례중도로뇌손상합병폐좌상적환인분위관찰조화대조조각30례，대조조채용상규호리，관찰조재대조조적기출상채용예견성호리，비교2조적호리효과。결과관찰조적혈양포화도고우대조조，출현감염적시간장우대조조，감염솔、병사솔저우대조조，출원전 Karnofsky 예후평분고우대조조，주원시간단우대조조，차이유통계학의의（P ＜0.05）；관찰조가속적호리만의도고우대조조，차이유통계학의의（P ＜0.05）。결론예견성호리능구기도전첨성호리적작용，가유효강저중도로뇌손상합병폐좌상환인적감염솔，개선예후。
ObjectiveTo explore application effect of predictive nursing in children severe craniocerebral injury combined with pulmonary contusion.Methods 60 children severe craniocere-bral injury combined with pulmonary contusion were divided into observation group and control group.The control group was received routine nursing while the observation group was given pre-dictive nursing.Nursing effect was compared between the two groups.Results The blood oxygen saturation in the observation group was higher than that in the control group,the infection time was longer than that in the control group,the infection rate and mortality rate was lower than that in control group,Karnofsky scores after intervention was higher than that in the control group,the hospitalization time was shorter than that in the control group,the results revealed that the differ-ence was statistical significant (P <0.05).The difference was statistical significant since nursing satisfaction in the observation group was higher than that in the control group (P <0.05).Con-clusion Preventive nursing could reduce infection in children severe craniocerebral injury combined with pulmonary contusion and improve the prognosis.