目的 探讨并分析系统护理干预对急性重症脑外伤患者术后康复日常生活能力的影响.方法 选取哈尔滨医科大学附属第一医院2015年1月～2017年1月收治的急性重症脑外伤患者90例,采取随机数字表法将其分为常规护理组与系统护理干预组,每组各45例.比较两组患者家属护理满意度、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力(Barthel指数)、脑外伤临床神经功能评分及并发症发生率.结果 系统护理干预组家属护理满意度(93.33％)高于常规护理组(77.78％),差异有统计学意义(P＜0.05).护理后,两组NIHSS评分和脑外伤临床神经功能评分均较护理前显著降低,Barthel指数较护理前显著提高,差异均有统计学意义(P＜0.05),且系统护理干预组上述指标较常规护理组改善更显著,差异均有统计学意义(P＜0.05).系统护理干预组并发症发生率(6.67％)显著低于常规护理组(17.78％),差异有统计学意义(P＜0.05).结论 系统护理干预可以提高急性重症脑外伤患者家属护理满意度,改善神经功能缺损情况,提高日常生活能力,降低并发症发生率.%Objective To explore and analyze the effect of systemic nursing intervention on the activities of daily living during postoperative rehabilitation in patients with acute severe craniocerebral trauma.Methods Ninety cases of patients with acute severe craniocerebral trauna admitted to the First Affiliated Hospital of Harbin Medical University from January 2015 to January 2017 were selected and divided into routine nursing group and systemic nursing group by random number table,with 45 cases in each group.The nursing satisfaction of relatives of the patients,the scores of national institute of health stroke scale (NIHSS),activity of daily living (Barthel index),the scores of clinical neurological function of craniocerebral trauma and the incidence of complications between the two groups were compared.Results The nursing satisfaction rate of relatives of the patients in the systemic nursing group (93.33％) was higher than that of routine nursing group (77.78％),with statistically significant difference (P ＜ 0.05).After nursing intervention,the scores of NIHSS and clinical neurological function of craniocerebral trauma in the two groups were all lower than those before nursing intervention,the Barthel index was higher than that before nursing intervention,the differences were all statistically significant (all P ＜ 0.05),the indexes above in the systemic nursing group were improved more significantly compared with those of routine nursing group,the differences were all statistically significant (all P ＜ 0.05).The incidence of complications in the systemic nursing group (6.67％) was lower than that of routine nursing group (17.78％),with statistically significant difference (P ＜ 0.05).Conclusion The systemic nursing intervention can increase the nursing satisfaction of relatives of patients with acute severe craniocerebral trauma,improve the neurologic impairment,promote the activity of daily living,reduce the incidence of complications.
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