呼唤式护理干预策略对颅脑损伤致昏迷患者意识水平及促醒状况的影响.docVIP

呼唤式护理干预策略对颅脑损伤致昏迷患者意识水平及促醒状况的影响 　　[摘要] 目的 探究颅脑损伤致昏迷患者引入呼唤式护理干预对其意识水平及促醒状况的影响。 方法 选取2012年9月～2015年8月南通大学附属医院收治的74例颅脑损伤致昏迷患者，采用随机数字表法分为研究组（n=37）和对照组（n=37）。对照组开展常规护理干预，研究组在对照组基础上引入呼唤式护理干预策略。记录并比较两组患者不同治疗时期的GCS、DRS、EEG评分及BAFP潜伏期。 结果 治疗前及治疗后1周，两组GCS、DRS、EEG评分差异无统计学意义（P 0.05）；治疗后2、3、4周，研究组DRS评分低于对照组（P 0.05），治疗4周末，研究组BAFP绝对潜伏期及峰间潜伏期均短于对照组，差异有统计学意义（P 0.05）。 结论 基于呼唤式理念为导向的护理方案应用于颅脑损伤致昏迷患者，有助于促进患者意识复苏，对其病情的正向转归有所助益。 　　[关键词] 颅脑损伤；呼唤式护理；意识状况；苏醒水平 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0180-04 　　[Abstract] Objective To explore the effect of call nursing intervention on the level of consciousness and arousal in coma patients caused by craniocerebral injury. Methods 74 patients with coma caused by craniocerebral injury in Affiliated Hospital of Nantong University from September 2012 to August 2015 were selected and randomly divided into the study group and the control group according to random number table method， with 37 cases in each group. In the control group， routine nursing intervention was carried out， while the study group was given call nursing intervention strategy on the basis of the control group. The GCS， DRS and EEG scores， BAFP incubation period at different time of treatment of the two groups were recorded and compared. Results The two groups of patients before treatment and 1 week after treatment， the scores of GCS， DRS and EEG had no statistically significant difference differences （P 0.05）； 2， 3， 4 weeks after treatment， GCS and the EEG scores were higher in the study group than the control group （P 0.05）； but 4 weeks after treatment， the absolute latency and peak latency of BAFP in the study group were shorter than those in the control group， with statistically significant differences （P 0.05）. Conclusion Based on the call concept oriented nursing program in patients with coma caused by craniocerebral injury， it is helpful to promote the recovery of patients consciousness， and helpful to the positive outcomes of the patients. 　　[Key