多感官促醒护理模式对脑性昏迷患者觉醒意识与预后的影响.pdf
《多感官促醒护理模式对脑性昏迷患者觉醒意识与预后的影响.pdf》由会员分享,可在线阅读,更多相关《多感官促醒护理模式对脑性昏迷患者觉醒意识与预后的影响.pdf(3页珍藏版)》请在文库网上搜索。
1、护理论著CHINESE COMMUNITY DOCTORS中国社区医师2023年第39卷第26期中国社区医师2023年第39卷第26期脑性昏迷是临床常见的昏迷情况,主要由颅脑损伤、脑出血、脑梗死等导致1。脑性昏迷患者生命体征虽稳定,但因长期处于昏迷状态,易出现压力性损伤等并发症,为患者家属带来巨大困扰,增加经济负担2。脑性昏迷患者护理原则为最大限度刺激大脑皮质,引起脑电生理反应、恢复神经功能、促进患者苏醒3-4。本研究旨在探讨多感官促醒护理模式对脑性昏迷患者觉醒意识与预后的影响,现报告如下。资料与方法选取2021年8月2022年8月湘雅博爱康复医院收治的脑性昏迷患者72例作为研究对象,以双色球
2、法分为传统组与研究组,各36例。传统组男20例,女16例;年龄2060岁,平均(40.153.27)岁;体重4682 kg,平均(64.343.18)kg;疾病类型:颅脑损伤 20 例,脑出血 14 例,脑梗死 2 例。研究组男 21例,女 15例;年龄 2159岁,平均(39.863.31)岁;体重 4781 kg,平均(63.793.23)kg;疾病类型:颅脑损伤19例,脑出血15例,脑梗死2例。两组基本资料比较,差异无统计学意义(P0.05),具有可比性。患者及家属知晓本研究内容并签署同意书。本研究通过医院伦理委员会审核批准。doi:10.3969/j.issn.1007-614x.20
3、23.26.046摘要目的:探讨多感官促醒护理模式对脑性昏迷患者觉醒意识与预后的影响。方法:选取2021年8月2022年8月湘雅博爱康复医院收治的脑性昏迷患者72例作为研究对象,以双色球法分为传统组与研究组,各36例。传统组实施传统护理模式,研究组实施多感官促醒护理模式。比较两组护理效果。结果:护理后,研究组格拉斯哥昏迷评分高于传统组,美国国立卫生研究院卒中量表评分低于传统组,差异有统计学意义(P0.05)。研究组苏醒有效率高于传统组,苏醒时间短于传统组,差异有统计学意义(P0.05)。研究组预后良好率高于传统组,差异有统计学意义(P=0.001)。结论:脑性昏迷患者实施多感官促醒护理模式的效
4、果显著,能够改善昏迷情况,促进神经功能恢复,缩短苏醒时间,改善预后。关键词多感官促醒护理模式;脑性昏迷;神经功能;苏醒时间;预后Effect of Multi-Sensory Wake-Promoting Nursing Mode on Awakening Consciousness and Prognosis of Patientswith Cerebral ComaZhao Wei,Duan Wenjuan(corresponding author)Xiangya Boai Rehabilitation Hospital,Changsha 410100,Hunan Province,Chi
5、naAbstractObjective:To explore the effect of multi-sensory wake-promoting nursing mode on awakening consciousness andprognosis of patients with cerebral coma.Methods:A total of 72 patients with cerebral coma admitted to Xiangya BoaiRehabilitation Hospital from August 2021 to August 2022 were selecte
6、d as the study subjects.According to the two-color ballmethod,they were divided into the traditional group and the study group,with 36 cases in each group.The traditional groupimplemented the traditional nursing mode,and the study group implemented the multi-sensory wake-promoting nursing mode.Nursi
7、ng effects were compared between the two groups.Results:After nursing,the Glasgow Coma Scale score in the study groupwas higher than that in the traditional group,and the National Institutes of Health Stroke Scale score in the study group was lowerthan that in the traditional group,with statisticall
8、y significant difference(P0.05).The awakening efficiency in the study groupwas higher than that in the traditional group and the awakening time in the study group was shorter than that in the traditionalgroup,with statistically significant difference(P0.05).The good prognosis rate in the study group
9、 was higher than that in thetraditional group,with statistically significant difference(P=0.001).Conclusion:The effect of multi-sensory wake-promotingnursing mode for patients with cerebral coma is remarkable,which can improve the coma,promote the recovery of neurologicalfunction,shorten the awakeni
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 感官 护理 模式 昏迷 患者 觉醒 意识 预后 影响