舒适化护理模式在颅脑外伤围手术期护理应用.docVIP

舒适化护理模式在颅脑外伤围手术期护理应用 　　摘要：目的：结合临床实践，探讨使用舒适化护理对颅脑外伤围手术期患者的护理疗效、对疾病控制的情况、认知功能及肢体功能恢复的效果。方法：将320例重型颅脑外伤围手术期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与舒适化护理相结合，比较两组的MMSE评分、颅内血肿+水肿体积，分别记录两组不同方式治疗后，患者有关活动度Matta功能情况。结果：研究组Matta功能优良率为95.0%，均明显优于对照组，P0.05。MMSE评分理想，颅内血肿+水肿体积改善令人满意，均好于对照组（P0.05）。结论：对于重型颅脑外伤围手术期，在常规护理的同时，实施舒适化护理，可以积极推进患者恢复，对于提升护理质量是必要的，是一种安全、有效的护理措施，具备临床实用性，值得进一步推广。 　　关键词：颅脑外伤；舒适化护理；围手术期 　　Abstract： Objective： combination of clinical practice， explore the use of comfortable nursing of craniocerebral trauma around the nursing effect of perioperative patients and to disease control， cognitive function and recovery of limb function effect. Methods： 320 cases of severe craniocerebral trauma Wai operative patients were randomly divided into the study group and the control group， the control group was given routine nursing， study group use routine care and comfort nursing combined， compared with two groups of MMSE scores， intracranial hematoma and edema volume were recorded two different treatment， activities related to the patients degree Matta function. Results： the excellent and good rate of Matta in the study group was 95%， which was significantly better than that in the control group， P 0.05. MMSE score was satisfactory， and the volume of intracranial hematoma and edema volume was satisfactory， which was better than the control group （P0.05）. Conclusion： for severe craniocerebral trauma in perioperative period and routine nursing care at the same time， the implementation of comfortable nursing can actively promote the recovery of patients and to improve the quality of care is necessary is a safe and effective nursing measures， have clinical utility， worthy of further promotion and wide. 　　Keywords： craniocerebral trauma， comfort nursing， perioperative period 　　重型颅脑外伤是常见的外伤性疾病，在治疗中多采用手术治疗，病情较重并常伴有并发症的发生。围手术期的整体医治过程中，护理是关键，良好的护理质量可以加快患者的治愈速度，提高患者术后的治疗效果[1]。因此，在重型颅脑外伤围手术期护理方面，医护工作者要秉着认真负责的工作态度，观察病情变化要准确及时，护理患者要全面周到，给予患者舒适的护理措施。临床上，通常对于颅脑外伤围手术期患者采取较为传统的常规护理手段，在此基础上，