呼唤式护理对重型颅脑损伤昏迷患者清醒时间及神经功能的影响.docVIP

精品论文 参考文献 呼唤式护理对重型颅脑损伤昏迷患者清醒时间及神经功能的影响 (商丘市第一人民医院急诊科 河南商丘 476100) [摘要] 目的:探讨呼唤式护理对重型颅脑损伤昏迷患者清醒时间及神经功能的影响。方法:将商丘市第一人民医院急诊科收治的50例重型颅脑损伤昏迷患者作为研究对象，随机分为两组，均25例。对照组采取常规护理，观察组给予呼唤式护理，比较两组患者神经功能及清醒时间。结果:观察组FM、BI评分均高于对照组，AS评分低于对照组，差异显著（P＜0.05）；观察组清醒时间为（20.2plusmn;9.9）d，短于对照组的（27.4plusmn;12.1）d，差异显著（P＜0.05）。结论:重型颅脑损伤昏迷患者给予呼唤式护理后效果明显，有效促进患者神经功能恢复，缩短患者清醒时间，值得推广应用。 [关键词] 呼唤式护理；重型颅脑损伤；昏迷；神经功能；清醒时间 Call type nursing waking hours in patients with severe head injury in a coma and neural function Xiang-min kong (shangqiu first peoples hospital emergency department Henan shangqiu, 476100) [abstract] objective: to study the call type nursing waking hours in patients with severe head injury in a coma and neural function. Methods: shangqiu first peoples hospital of 50 cases of severe craniocerebral injury admitted in the emergency department in a coma patients as the research object, randomly divided into two groups, 25 cases. Control group adopted routine nursing care, nursing observation group was given call type, comparing two groups of patients with nerve function and waking hours. FM, BI score results: the observation group were higher than that of control group, the AS scores lower than the control group, significant difference (P lt; 0.05); Observation group waking hours (20.2 + 9.9) d, shorter than the control group (27.4 + 12.1) d, significant difference (P lt; 0.05). Conclusion: patients with severe head injury in a coma for calling type nursing effect is obvious, after effectively promote patients with nerve functional recovery, shorten the patient awake time, is worthy of popularization and application. [key words] call type nursing; Severe head injury. In a coma. Nerve function; Waking hours 颅脑损伤指暴力作用于头颅引起的损伤，包括头部软组织损伤、颅骨骨折和脑损伤。其中以脑损伤最为严重，其病死率较高，重型颅脑损伤患者由于长期昏迷，易导致并发症的发生，影响预后[1-2]。为寻求有效的护理，促进患者尽早清醒，本研究将呼唤式护理模式用于重型颅脑损伤昏迷患者中后，取得良好效果。结果如下。 1 资料与方法 1.1 一般资料 将2015年6月—2015年6月期间商丘市第一人民医院急诊科收治的50例重型颅脑损伤昏迷患者作为研究对象，随机分为对照组25例，其中