CAJ | 학술논문

目的探讨预警护理在神经外科重症患者治疗中的临床效果.方法选取我院2012年4月至2013年10月收治的神经外科重症患者100例为研究对象.将患者随机分为观察组和对照组,各50例.观察组予以预警护理模式,对照组则予以常规护理模式.观察比较两组患者的Barthel指数评分和Fugl-Meyer评分、护理满意度以及术后出血、尿崩症、压疮等并发症发生率等.结果观察组Barthel指数评分与Fugl-Meyer评分明显高于对照组,差异具有统计学意义(P＜0.05).观察组护理满意率为88.0％,对照组为70.0％,差异有统计学意义(x 2=4.882,P＜0.05).住院期间,对照组术后出血及压疮发生率显著高于观察组(P＜0.05).两组尿崩症发生率差异无统计学意义(P＞0.05).结论相比于常规护理,预警护理能有效提高患者身体恢复程度,降低疾病风险,增加护理满意度,具有良好的应用前景和临床价值,值得临床推广.
목적 탐토예경호리재신경외과중증환자치료중적림상효과.방법 선취아원2012년4월지2013년10월수치적신경외과중증환자100례위연구대상.장환자수궤분위관찰조화대조조,각50례.관찰조여이예경호리모식,대조조칙여이상규호리모식.관찰비교량조환자적Barthel지수평분화Fugl-Meyer평분、호리만의도이급술후출혈、뇨붕증、압창등병발증발생솔등.결과 관찰조Barthel지수평분여Fugl-Meyer평분명현고우대조조,차이구유통계학의의(P＜0.05).관찰조호리만의솔위88.0％,대조조위70.0％,차이유통계학의의(x 2=4.882,P＜0.05).주원기간,대조조술후출혈급압창발생솔현저고우관찰조(P＜0.05).량조뇨붕증발생솔차이무통계학의의(P＞0.05).결론 상비우상규호리,예경호리능유효제고환자신체회복정도,강저질병풍험,증가호리만의도,구유량호적응용전경화림상개치,치득림상추엄.
Objective To explore the clinical effect of warning care in the treatment for severe neurosurgical patients.Methods 100 severe neurosurgical patients were selected from the department of neurology at our hospital from April,2012 to October,2013 as study objects and then were randomly divided into an observation group and a control group,50 cases for each group.The observation group received warning care,while the control group routine care.Barthel Index score,Fugl-Meyer score,the satisfaction of nursing care,the incidences of complications,such as postoperative bleeding,diabetes insipidus,pressure ulcer,etc.were observed and compared.Results Barthel Index score and FuglMeyer score were markedly higher in the observation group than in the control group(P＜0.05).The satisfaction of nursing care was 88.0％ in the observation group and was 70.0％ in the control group,with a statistical difference(x2=4.882,P＜0.05).During the hospitalization,the incidences of pressure ulcers and postoperative bleeding were significantly lower in the observation group than in the control group (P＜0.05).There was no statistical difference in the incidence of diabetes insipidus between the two groups(P＞ 0.05).Conclusions Compared with routine care,warning care can let the patients recover effectively,lower the disease' risk,and increase the satisfaction of nursing care,has good application prospect and high clinical value,and is worth being clinically generalized.