预见性护理对ICU神经外科患者术后胃肠道功能恢复的影响(1)
[摘要] 目的 分析予以ICU神经外科患者预见性护理对其术后胃肠道功能恢复的影响。 方法 于2017年1月—2018年12月采用方便抽样法抽选68例ICU神经外科术后重症患者纳入该次实验，并采用均等双盲划分法将其中34例纳入对照组(按常规开展护理)，剩余34例纳入观察组(于对照组前提之下加以预见性护理)，统计并比较两组的住院时间、并发症、意外以及护理前后的胃肠道功能情况。结果 观察组的住院时间(15.30±3.75)d比对照组(21.56±4.58)d更短，差异有统计学意义(t=6.166，P<0.05);观察组意外及并发症发生率分别为2.94%、8.82%，比对照组23.53%、26.47%更低，差异有统计学意义(χ2=6.275、10.719，P<0.05);护理前，两组的胃肠道功能分级差异无统计学意义(Z=0.125，P>0.05);护理后，观察组的胃肠道功能分级比对照组更优，，差异有统计学意义(Z=9.458，P<0.05)。结论 予以ICU神经外科患者预见性护理更有利于其术后胃肠道功能恢复，同时能减少意外及并发症出现。
[关键词] 神经外科;ICU;预见性护理;胃肠道功能
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2020)08(a)-0150-03
Influence of Predictive Nursing on Gastrointestinal Function Recovery after Neurosurgery for ICU Patients
GUO Chun-xia
Operating Room， Leizhou City People’s Hospital， Leizhou， Guangdong Province， 524200 China
[Abstract] Objective To analyze the influence of predictive nursing on gastrointestinal function recovery after neurosurgery for ICU patients. Methods Through convenient sampling method， 68 ICU children of undergoing neurosurgery were selected from January 2017 to December 2018. According to double-blind method， children were assigned to control group (n=34) and observation group (n=34). The control group was served with routine nursing; on the basis of the former， the observation group was served with predictive nursing. The hospital stays， complications， risk events and gastrointestinal function were compared. Results The hospital stays in the observation group were (15.30±3.75)d， which were shorter than those of control group (21.56±4.58)d， and the difference was statistically significant (t=6.166， P<0.05); the risk event and complication rate in the observation group (2.94%， 8.82%) was lower than that of control group (23.53%， 26.47%)， and the difference was statistically significant(χ2=6.275， 10.719， P<0.05); before intervention， gastrointestinal function grades between groups were not significantly different(Z=0.125， P>0.05); after intervention， gastrointestinal function grades in the observation group were better than those of control group， and the difference was statistically significant(Z=9.458， P<0.05). Conclusion The predictive nursing is conductive to gastrointestinal function recovery， and reduction of risk events and complications.
[Key words] Neurosurgery; ICU; Predictive nursing; Gastrointestinal function
ICU中接收的神經外科患者病情多严重，需行手术治疗，而护理质量会对患者术后康复及预后产生直接影响，一定程度上对其生命安全起到了决定性作用[1-2]。因此，对护理质量进行改进十分重要。在原发病、卧床时间过长、手术等原因影响下，患者的胃肠道可能会受到一定的影响[3]。有研究表明[4-5]，帮助患者恢复胃肠道功能，能促进其营养吸收，降低术后并发症的出现机率，加快其术后康复进程。因此，积极采取有效合理的护理措施十分必要。该研究方便选取2017年1月—2018年12月该院68例ICU神经外科术后重症患者为研究对象，探讨预见性护理对该类患者术后胃肠道功能恢复的影响，现报道如下。, http://www.100md.com(郭春霞)
[关键词] 神经外科;ICU;预见性护理;胃肠道功能
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2020)08(a)-0150-03
Influence of Predictive Nursing on Gastrointestinal Function Recovery after Neurosurgery for ICU Patients
GUO Chun-xia
Operating Room， Leizhou City People’s Hospital， Leizhou， Guangdong Province， 524200 China
[Abstract] Objective To analyze the influence of predictive nursing on gastrointestinal function recovery after neurosurgery for ICU patients. Methods Through convenient sampling method， 68 ICU children of undergoing neurosurgery were selected from January 2017 to December 2018. According to double-blind method， children were assigned to control group (n=34) and observation group (n=34). The control group was served with routine nursing; on the basis of the former， the observation group was served with predictive nursing. The hospital stays， complications， risk events and gastrointestinal function were compared. Results The hospital stays in the observation group were (15.30±3.75)d， which were shorter than those of control group (21.56±4.58)d， and the difference was statistically significant (t=6.166， P<0.05); the risk event and complication rate in the observation group (2.94%， 8.82%) was lower than that of control group (23.53%， 26.47%)， and the difference was statistically significant(χ2=6.275， 10.719， P<0.05); before intervention， gastrointestinal function grades between groups were not significantly different(Z=0.125， P>0.05); after intervention， gastrointestinal function grades in the observation group were better than those of control group， and the difference was statistically significant(Z=9.458， P<0.05). Conclusion The predictive nursing is conductive to gastrointestinal function recovery， and reduction of risk events and complications.
[Key words] Neurosurgery; ICU; Predictive nursing; Gastrointestinal function
ICU中接收的神經外科患者病情多严重，需行手术治疗，而护理质量会对患者术后康复及预后产生直接影响，一定程度上对其生命安全起到了决定性作用[1-2]。因此，对护理质量进行改进十分重要。在原发病、卧床时间过长、手术等原因影响下，患者的胃肠道可能会受到一定的影响[3]。有研究表明[4-5]，帮助患者恢复胃肠道功能，能促进其营养吸收，降低术后并发症的出现机率，加快其术后康复进程。因此，积极采取有效合理的护理措施十分必要。该研究方便选取2017年1月—2018年12月该院68例ICU神经外科术后重症患者为研究对象，探讨预见性护理对该类患者术后胃肠道功能恢复的影响，现报道如下。, http://www.100md.com(郭春霞)