颅脑外伤手术护理配合体会.docVIP

颅脑外伤手术护理配合体会 　　摘要：目的：探讨使用临床护理路径对颅脑外伤手术患者的治疗配合效果、对疾病控制的情况及肢体功能恢复的效果。方法：将300例颅脑外伤手术患者随机分为研究组和对照组，对照组采用护理方式为常规护理，研究组则在常规护理基础上与临床护理路径相结合，比较两组的治疗效果，分别记录两组不同方式治疗后，患者有关活动度的恢复情况。结果：研究组Matta功能优良率为90.0%，均明显优于对照组，P0.05。发现采用临床护理路径的研究组患者，颅内血肿+水肿体积改善令人满意，平均住院（8.72±0.95）d，临床治愈时间（13.83±0.62）w，临床效果均好于对照组（P0.05）。结论：临床护理路径应用于颅脑外伤手术患者的护理中，效果更佳，是一种令人满意的护理措施，可以提高患者的相关指标，具备临床实用性。 　　关键词：颅脑外伤； 临床护理路径； 护理质量 　　Abstract：Objective： To investigate the effect of clinical nursing pathway in the treatment of patients with craniocerebral trauma， and the effect of the disease control and recovery of limb function. Methods： 300 cases of craniocerebral trauma patients were randomly divided into study group and control group， patients in control group were treated with nursing routine care， study group is on the base of routine nursing and clinical nursing paths combination， treatment effects were compared between the two groups were recorded two groups after different treatments， the activities related to the patients of recovery. Results： the excellent and good rate of Matta in the study group was 90%， which was significantly better than that in the control group， P 0.05. Using the clinical nursing pathway of patients in the study group， intracranial hematoma and edema volume improved satisfactorily， the average length of （8.72 + 0.95） d， clinical healing time （13.83 + 0.62 W， clinical effect were better than that of the control group （P 0.05）. Conclusion： application of clinical nursing pathway in nursing care of patients with craniocerebral trauma surgery， better effect is a satisfactory nursing intervention can improve patient related indicators， have clinical utility. 　　Keywords： brain injury， clinical nursing pathway， nursing quality 　　颅脑外伤是常见外伤性疾病，是病死率和致残率都很高的一种疾病，其并发症多、预后差，成为当前医学所面临的严峻的问题之一[1]。临床上，通常对于颅脑外伤手术患者采取常规护理手段，在此基础上，找寻科学的护理措施，能够降低患者的致残率跟死亡率[2]。现在临床上对于颅脑外伤手术护理模式还是以常规流程进行，忽略了患者的实际需求。因此，采取先进且实用的护理措施成为了提升护理质量的方向[3]。本研究对300例颅脑外伤手术患者随机分为研究组和对照组，其中对照组进行常规护理，研究组使用常规护理基础与临床护理路径相结合，探讨不