178例重症颅脑损伤患者手术前后舒适护理体会.docVIP

178例重症颅脑损伤患者手术前后舒适护理体会 　　【摘要】 目的:观察重症颅脑损伤手术患者的舒适护理效果,以 　　总结舒适护理经验,提高护理水平。方法:对178例重症颅脑损伤 　　(GCS评分≤8分且昏迷6 h)手术患者分别进行术前、术后舒适护理 　　,翔实记录患者的出院及预后结局、并发症发生情况、心理疏导疗效 　　、生活自理恢复能力情况、护理满意度、护患纠纷及护理质量。结果 　　:死亡12例,自动出院4例,162例不同程度好转或痊愈;口臭发生率 　　35%,口炎发生率10%,肺部感染发生率12%,褥疮发生率为0;术前术 　　后心理疏导使家属、患者的心理应激得到极大缓解,负面情绪明显改 　　善,无一例因悲观厌世而轻生自杀;在生活自理能力恢复方面, 　　63.4%生存患者不同程度恢复生活自理能力;科室整体护理操作更加 　　规范,合格率达到96%,整体护理满意度达98.6%,无一例护患纠纷发 　　生。结论:全方位实行舒适护理可改善患者预后,提高护理满意率, 　　同时改善护理服务,提高护理质量。 　　【关键词】 重度颅脑损伤; 术前; 术后; 舒适护理 　　Comfortable Nursing for 178 Operating Patients with 　　Severe Craniocerebral Injury/LIU Shu-qing, ZHANG Chun-hua, 　　LI Shi-yuan.//Medical Innovation of China,2012,9 　　(33):074-076 　　【Abstract】 Objective: To observe the effects on 　　comfortable nursing for the patients with severe 　　craniocerebral injury and summarize nursing experience. 　　Method: To keep a detail and accurate records of the 　　outcomes, the complications, the results of psychological 　　counseling, the activity of daily life, nursing 　　satisfaction, nurse-patient dispute, and nursing quality 　　through comfortable nursing such as emotional adjustment to 　　the patients and their relatives, positively preoperative 　　preparations as well as post-operative nursing was 　　implemented among 178 patients with severe craniocerebral 　　injury whose Glasgow Coma Score (GCS)≤8 and being in a 　　coma for more than 6 hours. Result: Among 178 cases, most 　　were recovered in different degrees from the illness except 　　for 12 dead and 4 automatic discharged. As for complication 　　, the occurrence of halitosis, stomatitis, pulmonary 　　infection, and pressure ulcers was 35%, 10%, 12%, and 　　zero respectively. After psychological counseling, 　　psychological stress was relieved and negative emotion 　　improved greatly with no one committed suicide. When 　　discharged,63.4% of survivers differently recovered the 　　activity of daily life. No nurse-patient dispute occurred 　　for better nursing procedure in holistic nursing 　　(standardization rate 96%) and