【摘要】 目的:探讨阶梯式个体化护理模式在颅脑损伤手术患者中的应用效果。方法:将2018年12月1日～2019年12月31日收治的102例颅脑损伤手术患者随机分为观察组和对照组各51例,对照组采用常规护理干预,观察组在常规护理基础上实施阶梯式个体化护理模式干预,比较两组干预效果。结果:观察组抢救成功率为98.04%,对照组为92.16%,两组比较差异无统计学意义(P>0.05);出院后1个月,两组患者日常生活活动能力量表(ADL)评分、美国国立卫生院神经功能缺损评分(NIHSS)均较干预前降低(P<0.05),且观察组低于对照组(P<0.05);出院后1个月,两组患者简化Fugl-Meyer运动功能评分法(FMA)、生活质量综合评定问卷(GQOLI-74)量表评分均较干预前提高(P<0.05),且观察组高于对照组(P<0.05);观察组患者肺部感染、关节僵硬、泌尿系统感染、消化道出血发生率低于对照组(P<0.05);出院3个月后,观察组患者格拉斯哥结局(GOS)评分为(4.12±0.42)分,对照组为(3.47±0.81)分,两组比较差异有统计学意义(P<0.05)。结论:阶梯式个体化护理模式可改善颅脑损伤手术患者的日常生活能力,促进其神经运动功能康复,提高患者生活质量,降低并发症发生率。更多还原

【Abstract】 Objective:To explore the application effect of individualized nursing model in patients with craniocerebral injury surgery.Methods:A total of 102 patients undergoing craniocerebral injury surgery from December 1,2018 to December 31,2019 were randomly divided into the observation group and the control group with 51 patients in each group.The control group received routine nursing intervention,while the observation group received individualized stepwise nursing intervention on the basis of routine nursing.The intervention effects of the two groups were compared.Results:the rescue success rate was 98.04% in the observation group and 92.16% in the control group.There was no statistically significant difference between the two groups(P>0.05).One month after discharge,the Activity of Daily Life Scale(ADL)score and the National Institutes of Health Stroke Scale(NIHSS)score in both groups were lower than before the intervention(P<0.05),and the observation group was lower than the control group(P<0.05).One month after discharge,the scores of simplified Fugl-Meyer Assessment(FMA)and the Generic Quality of Life Inventory-74(GQOLI-74)were both higher in the two groups than before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).The incidence of pulmonary infection,joint stiffness,urinary tract infection and gastrointestinal bleeding in the observation group was lower than that in the control group(P<0.05).Three months after discharge,Glasgow Outcome Scale(GOS)score was(4.12±0.42)in the observation group and(3.47±0.81)in the control group,with statistically significant difference between the two groups(P<0.05).Conclusion:The individualized nursing model can improve the daily life of craniocerebral injury patients,promote the rehabilitation of their neuromotor function,improve the quality of life of patients,and reduce the incidence of complications.更多还原