优质护理对急性重症脑外伤患者术后康复日常生活能力的影响分析(1)
[摘要] 目的 探討急性重症脑外伤患者行优质护理模式后对其术后康复日常生活能力的影响。 方法 方便选取该院于2016年2月—2018年4月收治的急性重症脑外伤患者80例，以随机数字表法的形式将其平均分为观察组和对照组，每组40例。对比两组患者护理后的家属满意度指标、NIHSS评分情况、Barthel指数评分、脑外伤临床神经功能评分。 结果 家属满意度对比，观察组总满意度90.0%高于对照组72.5%，两组对比差异有统计学意义(χ2=4.020 5， P<0.05);护理前，两组NIHSS评分、Barthel指数评分、脑外伤临床神经功能评分对比差异无统计学意义(P>0.05);护理后两组NIHSS评分、脑外伤临床神经功能评分较比护理前均有一定程度改善，Barthel指数评分对比有所提高，比较差异有统计学意义(P<0.05)，两组护理后观察组上述评分(5.24±1.69)分、(73.75±14.54)分、(32.76±3.84)分优于对照组(4.32±1.19)分、(58.21±16.14)分、(25.68±4.22)分，组间对比差异有统计学意义(t=2.815 0、4.524 2、7.848 0，P<0.05)。结论 优质护理模式的应用能够有效提升急性重症脑外伤患者家属满意度，同时改善神经功能各项评分，降低医疗纠纷发生几率，值得临床进一步推广。
, 百拇医药
[关键词] 优质护理;急性重症脑外伤;神经评分;满意度;价值分析
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2019)08(a)-0130-03
[Abstract] Objective To investigate the effect of high quality nursing mode on patients with acute severe traumatic brain injury after their postoperative rehabilitation. Methods Eighty patients with acute severe traumatic brain injury admitted to our hospital from February 2016 to April 2018 were convenient randomly divided into observation group and control group in the form of random number table， with 40 cases in each group. The family satisfaction index， NIHSS score， Barthel index score， and clinical neurological score of brain trauma were compared between the two groups. Results Compared with the satisfaction of family members， the total satisfaction of the observation group was 90.0% higher than that of the control group (72.5%). The difference between the two groups was significant(χ2=4.020 5， P<0.05). Before treatment， the two groups had NIHSS score， Barthel index score and brain trauma. There was no statistically significant difference in clinical neurological function scores (P>0.05). After treatment， the NIHSS scores and brain injury clinical neurological scores of the two groups were improved to some extent before the nursing， and the Barthel index scores were improved， which was statistically significant， (P<0.05)， the above scores of the observation group (5.24±1.69)points， (73.75±14.54)points， and (32.76±3.84)points were better than the control group (4.32±1.19)points， (58.21±16.14)points， (25.68±4.22)points， the difference was statistical significance between groups (t=2.815 0， 4.524 2， 7.848 0， P<0.05). Conclusion The application of high-quality nursing mode can effectively improve the family satisfaction of patients with acute severe traumatic brain injury， improve the scores of neurological function， reduce the incidence of medical disputes， and it is worth further clinical promotion., 百拇医药(周素敏)
, 百拇医药
[关键词] 优质护理;急性重症脑外伤;神经评分;满意度;价值分析
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2019)08(a)-0130-03
[Abstract] Objective To investigate the effect of high quality nursing mode on patients with acute severe traumatic brain injury after their postoperative rehabilitation. Methods Eighty patients with acute severe traumatic brain injury admitted to our hospital from February 2016 to April 2018 were convenient randomly divided into observation group and control group in the form of random number table， with 40 cases in each group. The family satisfaction index， NIHSS score， Barthel index score， and clinical neurological score of brain trauma were compared between the two groups. Results Compared with the satisfaction of family members， the total satisfaction of the observation group was 90.0% higher than that of the control group (72.5%). The difference between the two groups was significant(χ2=4.020 5， P<0.05). Before treatment， the two groups had NIHSS score， Barthel index score and brain trauma. There was no statistically significant difference in clinical neurological function scores (P>0.05). After treatment， the NIHSS scores and brain injury clinical neurological scores of the two groups were improved to some extent before the nursing， and the Barthel index scores were improved， which was statistically significant， (P<0.05)， the above scores of the observation group (5.24±1.69)points， (73.75±14.54)points， and (32.76±3.84)points were better than the control group (4.32±1.19)points， (58.21±16.14)points， (25.68±4.22)points， the difference was statistical significance between groups (t=2.815 0， 4.524 2， 7.848 0， P<0.05). Conclusion The application of high-quality nursing mode can effectively improve the family satisfaction of patients with acute severe traumatic brain injury， improve the scores of neurological function， reduce the incidence of medical disputes， and it is worth further clinical promotion., 百拇医药(周素敏)