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目的临床护理路径在重度颅脑损伤患儿中的应用效果及安全性。方法选取新沂市人民医院2015年5月—2016年5月收治的重度颅脑损伤78例患儿,按照临床护理方法不同分成对照组33例与观察组45例。对照组予以常规护理,观察组在对照组护理基础上应用临床护理路径。比较两组患儿神经功能缺损程度(ESS)评分、格拉斯哥昏迷量表(GCS)评分、美波士顿健康调查表(SF-36)评分、并发症(压疮、肺部感染、尿路感染)发生情况。结果护理前两组患儿ESS评分与GCS评分比较,差异无统计学意义(P>0.05);护理后观察组患者ESS评分低于对照组,GCS评分高于对照组(P<0.05)。观察组生理功能、社会功能与活力评分及总分高于对照组,并发症发生率低于对照组(P<0.05)。结论重度颅脑损伤患儿应用临床护理路径能够改善神经功能,促进患儿意识清醒和提高生活质量,且并发症少。
Objective To evaluate the clinical effect and safety of clinical nursing in children with severe craniocerebral injury. Methods 78 cases of severe craniocerebral injury admitted to Xinyi Municipal People’s Hospital from May 2015 to May 2016 were selected and divided into control group (n = 33) and observation group (n = 45) according to different clinical nursing methods. The control group was given routine care, and the observation group applied the clinical nursing path based on the control group. The scores of neurological deficit (ESS), Glasgow coma scale (GCS), SF-36 score, complication (pressure ulcer, lung infection and urinary tract infection) were compared between the two groups Happening. Results There was no significant difference between the ESS score and GCS score in the two groups before nursing (P> 0.05). The score of ESS in the observation group was lower than that in the control group, and the GCS score was higher than that in the control group (P <0.05). Observation group physical function, social function and vitality score and total score higher than the control group, complication rate was lower than the control group (P <0.05). Conclusion The application of clinical nursing pathway in children with severe craniocerebral injury can improve neurological function, promote consciousness and improve quality of life in children with less complications.