中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
14期
1691-1693
,共3页
颅脑损伤%插管法,胃肠%昏迷%护理
顱腦損傷%插管法,胃腸%昏迷%護理
로뇌손상%삽관법,위장%혼미%호리
Brain injury%Intubation,gastrointestinal%Coma%Nursing
目的：探讨系统细节护理干预对预防脑外科重型颅脑损伤昏迷患者鼻饲并发症的效果，以便更好地为患者服务。方法2010年3月-2013年2月，共收治重型颅脑损伤昏迷患者212例，将此212例患者作为观察组，回顾性分析2008年5月-2010年1月收治的重型颅脑损伤昏迷患者175例作为对照组。对照组采用常规护理方法，观察组在常规护理方法的基础上采用系统细节护理干预。比较两组患者的营养状况和患者鼻饲并发症的发生率。结果对照组发生营养不良9例，占5．14％，观察组0例，观察组患者的营养状况优于对照组，差异有统计学意义（χ2＝5．127，P＜0．05）。对照组发生鼻饲并发症41例，占23．43％，观察组22例，占10．38％，观察组并发症发生率明显低于对照组，差异有统计学意义（χ2＝4．907，P＜0．05）。结论系统细节护理干预能够有效降低鼻饲并发症的发生，在保证患者营养供给的同时提高了护理质量，帮助患者尽快恢复健康。
目的：探討繫統細節護理榦預對預防腦外科重型顱腦損傷昏迷患者鼻飼併髮癥的效果，以便更好地為患者服務。方法2010年3月-2013年2月，共收治重型顱腦損傷昏迷患者212例，將此212例患者作為觀察組，迴顧性分析2008年5月-2010年1月收治的重型顱腦損傷昏迷患者175例作為對照組。對照組採用常規護理方法，觀察組在常規護理方法的基礎上採用繫統細節護理榦預。比較兩組患者的營養狀況和患者鼻飼併髮癥的髮生率。結果對照組髮生營養不良9例，佔5．14％，觀察組0例，觀察組患者的營養狀況優于對照組，差異有統計學意義（χ2＝5．127，P＜0．05）。對照組髮生鼻飼併髮癥41例，佔23．43％，觀察組22例，佔10．38％，觀察組併髮癥髮生率明顯低于對照組，差異有統計學意義（χ2＝4．907，P＜0．05）。結論繫統細節護理榦預能夠有效降低鼻飼併髮癥的髮生，在保證患者營養供給的同時提高瞭護理質量，幫助患者儘快恢複健康。
목적：탐토계통세절호리간예대예방뇌외과중형로뇌손상혼미환자비사병발증적효과，이편경호지위환자복무。방법2010년3월-2013년2월，공수치중형로뇌손상혼미환자212례，장차212례환자작위관찰조，회고성분석2008년5월-2010년1월수치적중형로뇌손상혼미환자175례작위대조조。대조조채용상규호리방법，관찰조재상규호리방법적기출상채용계통세절호리간예。비교량조환자적영양상황화환자비사병발증적발생솔。결과대조조발생영양불량9례，점5．14％，관찰조0례，관찰조환자적영양상황우우대조조，차이유통계학의의（χ2＝5．127，P＜0．05）。대조조발생비사병발증41례，점23．43％，관찰조22례，점10．38％，관찰조병발증발생솔명현저우대조조，차이유통계학의의（χ2＝4．907，P＜0．05）。결론계통세절호리간예능구유효강저비사병발증적발생，재보증환자영양공급적동시제고료호리질량，방조환자진쾌회복건강。
Objective To explore the effect of system details nursing intervention on the precaution of complications of nasal feeding in coma patients with severe brain injury in the department of neurosurgery so as to serve the patients better .Methods Two hundred and twelve coma patients with severe brain injury from March 2010 to February 2013 were chosen as the observation group , and the 175 patients from May 2008 to January 2010 were retrospectively analyzed as the control group .The control group received the routine nursing , and the observation group received the system details nursing intervention on the basis of the routine nursing .The nutritional status and the incidence rate of complications were compared between the two groups .Results The cases of malnutrition in the control group were 9 cases (5.14%), and were 0 case in the observation group , and the nutritional status in the observation group was better than that in the control group , and the difference was statistically significant (χ2 =5.127, P<0.05).The cases of nasal feeding complications in the control group were 41 cases (23.43%), and were significantly higher than 22 cases (10.38%) in the observation group, and the difference was statistically significant (χ2 =4.907, P <0.05).Conclusions The system details nursing intervention can effectively reduce the incidence of nasal feeding complications , and improve the quality of nursing and ensure the supply of nutrients , and helps the patients to recover as soon as possible .
