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目的:对神经外科患者进行集束化护理,以分析其在压疮预防中的临床效果。方法:选取2013年1月-2016年12月宁波市北仑区小港医院收治的神经外科择期进行手术的患者200例,根据随机数字表法将患者分为观察者(n=100)与对照组(n=100)。给予对照组患者常规护理干预,给予观察者患者集束化护理干预,护理后对两组患者情况进行比较。结果:观察组压疮发生率为0.2%,对照组压疮发生率为0.4%,两组间比较差异无有统计学意义(P<0.05);在Barthel评分、Fugl-Meyer评分及护理满意度评分方面,与对照组比较,观察组上述各指标评分均明显提高,差异具有统计学意义(P<0.05)。结论:给予神经外科患者集束化护理干预,能够使患者压疮发生率在一定程度上降低,生活质量及活动能力明显改善,对护理的满意度明显提高。
OBJECTIVE: To conduct intensive care in neurosurgical patients to analyze their clinical effects in the prevention of pressure ulcers. Methods: From January 2013 to December 2016, 200 patients undergoing selective surgery for neurosurgery in Xiaogang Hospital, Beilun District, Ningbo City were enrolled. According to the random number table, the patients were divided into observation group (n = 100) and control group n = 100). The patients in the control group were given routine nursing interventions, and the observer patients were given cluster nursing interventions. After nursing, the two groups of patients were compared. Results: The incidence of pressure ulcer was 0.2% in observation group and 0.4% in control group, there was no significant difference between the two groups (P <0.05). The Barthel score, Fugl-Meyer score and nursing satisfaction Scores, compared with the control group, the observation group scores were significantly increased, the difference was statistically significant (P <0.05). Conclusion: The intensive nursing intervention for patients with neurosurgery can reduce the incidence of pressure ulcer in patients to a certain extent, improve the quality of life and mobility significantly, and improve the satisfaction with nursing.