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过渡期护理模式对重度颅脑损伤患者干预效果观察
作者姓名:印正  陈萍  周依琳
作者单位:复旦大学附属华山医院, 上海 200040,复旦大学附属华山医院, 上海 200040,复旦大学附属华山医院, 上海 200040
基金项目:国家自然科学基金资助项目(81573691、81703824、81803729、81874507);湖南省自然科学基金资助项目(2016JJ4065);湖南省研究生科研创新项目(CX20190570);湖南中医药大学研究生科研创新课题(2018CX18)。
摘    要:目的 分析应用过渡期护理模式对重度颅脑损伤患者经ICU转入普通病房的效果,确保临床护理的精准性和延续性,以促进患者加快康复。方法 随机从我院2017年4月到2019年4月期间ICU的重度颅脑损伤患者中选取120名,分为实验组和对照组,对照组患者以常规性的护理干预模式,实验组则予以过渡期护理干预模式。观察两组患者发生不良事件的概率,SAS评分、重返ICU概率。结果 实验组患者发生不良事件的概率(3.33%)、SAS评分为(50.36±7.17)分、重返ICU概率(1.67%)均低于对照组,P<0.05;结论 过渡期护理干预模式对重度颅脑损伤患者有较为积极的作用,可减少不良事件的发生,减缓患者的焦虑情绪,促进患者康复。

关 键 词:重度颅脑损伤  过渡期护理  SAS评分
收稿时间:2019/6/11 0:00:00

Effects of Transitional Intervention Nursing Mode on Patients with Severe Craniocerebral Injury
Authors:YIN Zheng  CHEN Ping and ZHOU Yilin
Affiliation:Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China,Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China and Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
Abstract:Objective By analyzing the positive effects of the transitional intervention nursing model on patients with severe craniocerebral injury in the intensive care unit (ICU) to ensure the accuracy and continuity of clinical nursing and promote the rehabilitation of patients. Methods A total of 120 patients with severe craniocerebral injury were randomly selected from ICU of our hospital from April 2017 to April 2019, and they were randomly divided into an experiment group and a control group. Routine nursing intervention mode was conducted in the control group, while transitional nursing intervention mode in the experimental group. The probability of adverse reaction, SAS scores, and the probability of returning to ICU were observed in both groups. Results In the experiment group, the probability of adverse reaction (3.33%), SAS scores (50.36±7.17) and the probability of returning to ICU (1.67%) were all lower than that of the control group (P<0.05). Conclusion The transitional nursing intervention mode has a more positive effect on patients with severe craniocerebral injury and can lower the incidence of adverse reaction, it also can relieve patients'' anxiety and promote their rehabilitation.
Keywords:severe craniocerebral injury  transitional nursing  SAS scores
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