CAJ | 학술논문

目的：探讨护理干预对重型颅脑损伤患者生存质量的影响。方法选择2008年10月～2012年10月我科治疗的重型颅脑损伤患者210例，依据护理方式将其分为研究组和对照组，每组105例。对照组实施常规护理。研究组在对照组基础上实施早期护理干预。比较两组生活能力（ADL ）及生存质量评分。结果两组出院时ADL评分与入院时比较有显著性差异（P＜0．05），两组出院时ADL评分比较有显著性差异（P＜0．05），对照组在出院时日常生活评分与入院时比较，有显著性差异（P＜0．05），但心理功能与社会功能及物质功能评分较入院时无显著性差异（P＞0．05）；研究组出院时QOL总分、心理、社会、物质功能评分、日常生活评分较入院时有所改善，有显著性差异（P＜0．05），同对照组比较，有显著性差异（P＜0．05）。结论重型颅脑损伤实施早期护理干预，可以提高患者日常生活的能力，使生活质量得到改善，效果显著。
목적：탐토호리간예대중형로뇌손상환자생존질량적영향。방법선택2008년10월～2012년10월아과치료적중형로뇌손상환자210례，의거호리방식장기분위연구조화대조조，매조105례。대조조실시상규호리。연구조재대조조기출상실시조기호리간예。비교량조생활능력（ADL ）급생존질량평분。결과량조출원시ADL평분여입원시비교유현저성차이（P＜0．05），량조출원시ADL평분비교유현저성차이（P＜0．05），대조조재출원시일상생활평분여입원시비교，유현저성차이（P＜0．05），단심리공능여사회공능급물질공능평분교입원시무현저성차이（P＞0．05）；연구조출원시QOL총분、심리、사회、물질공능평분、일상생활평분교입원시유소개선，유현저성차이（P＜0．05），동대조조비교，유현저성차이（P＜0．05）。결론중형로뇌손상실시조기호리간예，가이제고환자일상생활적능력，사생활질량득도개선，효과현저。
Objective To study influence of nursing intervention on quality of life in patients with severe craniocerebral injury .Methods A retrospective analysis of clinical data of 210 cases of severe craniocerebral injury in our hospital from 2008 October to 2012 October who had been treated in our department .They were average divided into the study group and the control group on the basis of nursing mode ,the control group was given routine nursing and early nursing intervention were carried out in study group .To compare with ADL (living ) and quality of life of two groups .Results ADL score of discharge patients had greatly improved than that of admission patients in two groups and had a significant difference (P <0 .05) .There was significant difference (P < 0 .05)on ADL score of discharge patients between the control group and the study group .In control group ,daily living score of discharge patients was improved obviously ,(P < 0 .05) ,but the psy-chological function and social function and material function score was not significantly better than that of admission (P >0 .05) .In study group ,QOL score ,mental ,social ,physical function score ,daily living scores was gretly improved (P <0 .05) .Conclusion Early nursing intervention in patients with severe craniocerebral injury can improve the ability of daily life and the quality of life .