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目的观察ICF通用组合在神经外科颅脑损伤患者中的应用效果。方法将神经外科颅脑损伤患者100例随机分为观察组和对照组各50例,观察组患者在ICF通用组合护理干预条目及护理剂量指导下对患者进行护理,对照组则根据日常护理常规进行护理。分别记录两组患者的住院满意度、住院时间,并且记录两组患者出院时ICF通用组合的7条类目的评分。结果观察组患者总满意度96.0%,明显高于对照组患者的70.0%,差异具有统计学意义(Z=-2.038,P<0.05)。观察组患者平均住院时间(9.05±4.26)d,明显短于对照组患者(12.65±4.78)d,差异有统计学意义(t=3.976,P<0.001)。出院时,观察组患者能量和驱力系统、执行日常事物、情感功能和到处移动评分显著低于对照组患者,差异有统计学意义(P<0.05);两组患者痛感、步行和有报酬的就业评分比较,差异无统计学意义(P>0.05)。结论在ICF通用组合护理干预条目及护理剂量指导下对患者进行护理,能够直观的反应患者的疾病康复变化,作为康复服务的评价指标。
Objective To observe the effect of ICF universal combination in neurosurgical patients with craniocerebral injury. Methods 100 patients with craniocerebral injury in neurosurgery were randomly divided into observation group and control group, 50 cases in each group. The patients in the observation group under the guidance of ICF general nursing intervention and nursing dose, while those in the control group were treated according to routine nursing routine Nursing. The hospital satisfaction and hospital stay of the two groups were recorded, and the scores of the seven categories of ICF universal combinations at the time of discharge from the two groups were recorded. Results The total satisfaction of the observation group was 96.0%, which was significantly higher than that of the control group (70.0%). The difference was statistically significant (Z = -2.038, P <0.05). The average length of hospital stay in the observation group was (9.05 ± 4.26) d, which was significantly shorter than that in the control group (12.65 ± 4.78) d, the difference was statistically significant (t = 3.976, P <0.001). At discharge, the patients in the observation group had significantly lower energy and drive system, daily routines, emotional function and mobility scores than those in the control group (P <0.05). Pain, walk and remuneration There was no significant difference in employment scores (P> 0.05). CONCLUSION: The nursing care of patients under the ICF general nursing intervention and nursing dose guidance can intuitively reflect the patient’s rehabilitation of the disease as an evaluation index of rehabilitation services.