护理干预对脑外伤术后导尿管所致躁动价值分析.docVIP

护理干预对脑外伤术后导尿管所致躁动价值分析 　　[摘要]目的 探讨护理干预对脑外伤术后导尿管所致躁动的临床价值。方法 选择患者100例，分为两组，各50例，观察组重点观察导尿管原因，对照组实施常规护理，比较两组患者的躁动时间及躁动程度，并统计治疗期间导尿管原因引起的不良反应情况。结果 观察组患者躁动时间显著少于对照组（P0.05），同时躁动程度评分显著低于对照组（P0.05），观察组出现尿管滑脱、尿道损伤及尿潴留的比例均显著低于对照组（P0.05）。结论 导尿管因素是导致脑外伤术后躁动主要原因之一，保证导尿管的通畅，避免尿潴留的发生是减少躁动的有效方法。 　　[关键词]护理干预；脑外伤术后；导尿管；躁动 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2013）24-151-02 　　Analysis on value of nursing intervention for restless with traumatic brain injury postoperative by catheter 　　HAO Helin 　　Wards of Cerebral Surgery Department， The First Peoples Hospital of Shenyang City，Shenyang 110041，China 　　[Abstract] Objective To investigate the clinical value of nursing intervention for restless with traumatic brain injury postoperative by catheter. Methods 100 cases were divided into two groups，50 cases in the observation group were observated the catheter reasons，the control group were received routine care， then the agitation time and degree of agitation in the two groups were compared， and adverse reactions during the treatment caused by catheter were statisticalled. Results The observation group with restless was less than control group （P0.05），the degree of agitation scores were lower than control group（P0.05），the observation group with catheter slippage occurs， urinary retention and urethral injury were lower than control group（P0.05）. Conclusion Catheter factors is one factor of agitation after traumatic brain injury，so ensure catheter patency can avoid the occurrence of urinary retention，and it is an effective way to reduce agitation. 　　[Key words] Nursing intervention；Brain trauma surgery；Catheter；Restlessness 　　颅脑损伤术后躁动的患者，其原因分为颅内因素与颅外因素两大类。临床处理上首先应寻找引起躁动的颅内因素，排除颅内因素后，要注意患者的呼吸道、疼痛刺激、导尿管等因素[1]。如果发生严重躁动需要立即通过护理评估，了解躁动发生的程度，并使用保护性约束装置进行处理[2]。本研究主要探讨导尿管引起患者术后躁动的护理干预方法，并分析其干预效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2010年1月～2013年11月我院收治的重症颅脑外伤实施急诊手术患者100例，术后均留置导尿管，分为两组，各50例，其中观察组：男34例，女16例，年龄18～55岁，平均（35.6±2.9）岁，入院使用甘露醇者43例，发生脑疝者11例，合并损伤部位：运动系统21例，消化系统19例，泌尿生殖系统8例，呼吸循环系统3例