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目的观察探讨护理86例多发伤合并脑出血患者的临床体会。方法选取该院2013年1月—2014年12月收纳的86例多发伤合并脑出血患者,按随机分配原则分为观察组和对照组,各43例,观察组多发创合并脑出血患者,在对照组基础治疗上,加用法莫替丁静滴20mg/d,对脑出血给予相应积极预防干预性护理措施。对照组多发伤合并脑出血患者,仅采用一般药物及常规护理包括患肢创口护理和心理疏导。记录治疗过程中并发症发生率如胃肠道功能衰竭等,在一个护理疗程后对其疗效进行评价,比较患者胃肠道功能衰竭发生率,焦虑情绪评分及对护理模式的满意度。结果观察组胃肠功能衰竭发生率25.6%,对照组胃肠功能衰竭发生率62.8%,对照组胃肠功能衰竭发生率比观察组高,差异有统计学意义(P<0.05),二组护理前焦虑情绪评分差别不大,差异无统计学意义(P>0.05)。二组护理后焦虑情绪评分差异有统计学意义(P<0.05)。观察组护理满意度95.3%,对照组护理满意度81.4%,观察组护理满意度较之对照组高,差异有统计学意义(P<0.05)。结论对多发伤合并脑出血患者进行干预性护理措施不仅可以达到与常规传统护理相近的治疗疗效,且明显改善患者胃肠道功能衰竭发生的风险率,缓解患者焦虑情绪,有利于保持患者心理健康。采用干预性护理措施对多发伤合并脑出血患者具有可行性及安全性,值得临床上进一步推广应用。
Objective To investigate the clinical experience of nursing 86 patients with multiple traumatic brain hemorrhage. Methods A total of 86 patients with multiple traumatic brain injury complicated with intracerebral hemorrhage admitted from January 2013 to December 2014 in our hospital were divided into observation group and control group according to the principle of random distribution, 43 cases in each group. In the observation group, The control group, the basis of treatment, plus intravenous famotidine 20mg / d, the corresponding cerebral hemorrhage to give the appropriate preventive interventional care interventions. Patients in the control group with multiple injuries and cerebral hemorrhage were treated with general medicine and routine care including limb wound care and psychological counseling. Record the incidence of complications such as gastrointestinal failure during treatment, evaluate the curative effect after a nursing course, compare the incidence of gastrointestinal failure, anxiety score and satisfaction with nursing mode. Results The incidence of gastrointestinal failure in the observation group was 25.6%, the incidence of gastrointestinal failure in the control group was 62.8%, the incidence of gastrointestinal failure in the control group was higher than that in the observation group, with significant difference (P <0.05) There was no significant difference in the former anxiety scores, the difference was not statistically significant (P> 0.05). There was significant difference in scores of anxiety after nursing between the two groups (P <0.05). The nursing satisfaction of the observation group was 95.3%, while that of the control group was 81.4%. The nursing satisfaction of the observation group was higher than that of the control group (P <0.05). Conclusion Interventional nursing intervention in patients with multiple trauma and intracerebral hemorrhage can not only achieve the similar curative effect as conventional traditional nursing care but also significantly improve the risk of gastrointestinal failure and alleviate anxiety and maintain mental health of patients . The use of interventional nursing interventions for patients with multiple traumatic brain injury has the feasibility and safety, it is worth to further promote the clinical application.