[1]张秀芳,赵志平,张 娟,等.序贯评估法护理对颅脑外伤患者急救效果、救治时间及不良事件发生率的影响[J].医学信息,2023,36(14):159-162.[doi:10.3969/j.issn.1006-1959.2023.14.034]
　ZHANG Xiu-fang,ZHAO Zhi-ping,ZHANG Juan,et al.Effect of Sequential Evaluation Nursing on First Aid Effect, Treatment Time and Incidence of Adverse Events in Patients with Craniocerebral Trauma[J].Journal of Medical Information,2023,36(14):159-162.[doi:10.3969/j.issn.1006-1959.2023.14.034]
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序贯评估法护理对颅脑外伤患者急救效果、救治时间及不良事件发生率的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年14期
页码:
159-162
栏目:
护理研究
出版日期:
2023-07-15

文章信息/Info

Title:
Effect of Sequential Evaluation Nursing on First Aid Effect, Treatment Time and Incidence of Adverse Events in Patients with Craniocerebral Trauma
文章编号:
1006-1959（2023）14-0159-04
作者:
张秀芳; 赵志平; 张 娟; 等
（天津市滨海新区海滨人民医院急诊医学科，天津 300280）
Author(s):
ZHANG Xiu-fang; ZHAO Zhi-ping; ZHANG Juan; et al.
(Department of Emergency Medicine,Haibin People’s Hospital of Binhai New Area,Tianjin 300280,China)
关键词:
颅脑外伤; 序贯评估法护理; 救治时间; 格拉斯哥昏迷评分
Keywords:
Craniocerebral trauma; Sequential evaluation nursing; Treatment time; Glasgow Coma Scale
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.14.034
文献标志码:
A
摘要:
目的 研究序贯评估法护理对颅脑外伤患者急救效果、救治时间及不良事件发生率的影响。方法 以2019年2月-2022年2月天津市滨海新区海滨人民医院接收的62例颅脑外伤患者为研究对象，依据随机数字表法分为对照组（31例）与观察组（31例）。对照组行常规急救护理，观察组则在其基础上开展序贯评估法护理，比较两组急救效果、救治时间、格拉斯哥昏迷评分（GCS）、神经功能缺损评分（NIHSS）、不良事件及并发症发生率。结果 观察组急救成功率高于对照组，救治时间少于对照组（P＜0.05）；两组护理后GCS评分高于护理前，NIHSS评分均低于护理前，且观察组GCS评分高于对照组，NIHSS评分低于对照组（P＜0.05）；观察组不良事件发生率、并发症发生率低于对照组（P＜0.05）。结论 序贯评估法护理可提高颅脑外伤患者的急救效果，缩短其救治时间，减少救治过程中的不良事件，降低其并发症风险。
Abstract:
Objective To study the effect of sequential evaluation nursing on first aid effect, treatment time and incidence of adverse events in patients with craniocerebral trauma.Methods From February 2019 to February 2022, 62 patients with craniocerebral trauma received by Haibin People’s Hospital of Binhai New Area were divided into control group (31 patients) and observation group (31 patients) according to the random number table method. The control group received routine emergency nursing, while the observation group received sequential evaluation nursing on the basis of the control group. The first aid effect, treatment time, Glasgow Coma Scale (GCS) score, neurological deficit (NIHSS) score, adverse events and complications were compared between the two groups.Results The success rate of first aid in the observation group was higher than that in the control group, and the treatment time was less than that in the control group (P<0.05). The GCS score of the two groups after nursing was higher than that before nursing, and the NIHSS score was lower than that before nursing, while the GCS score of the observation group was higher than that of the control group, and the NIHSS score was lower than that of the control group (P<0.05). The incidence of adverse events and complications in the observation group were lower than those in the control group (P<0.05).Conclusion Sequential evaluation nursing can improve the first aid effect of patients with craniocerebral trauma, shorten the treatment time, reduce the adverse events in the treatment process, and reduce the risk of complications.

参考文献/References:

[1]叶嫩妹.细节护理应用于颅脑外伤患者护理中的效果评估[J].福建医药杂志,2023,45(1):175-176,180.[2]Rong X.Effects of Continuous Nursing Intervention on Postoperative Rehabilitation of Patients with Craniocerebral Trauma[J].Clinical Nursing Research,2022,6(1):86-90.[3]郭钰,邵青青,吕砚青.危机管理渗透式无隙一体化急救模式对颅脑外伤患者急救时间神经功能及生命体征的影响价值[J].山西医药杂志,2022,51(3):357-359.[4]李晓芳,杨会梅.基于序贯评估法的院前急救护理对颅脑损伤患者整体救治时间及护理效果的影响[J].现代中西医结合杂志,2019,28(28):3177-3180.[5]李雪梅,李湘,张余.危机管理联合外伤急救在急诊颅脑外伤中的应用及对患者神经功能的影响[J].河北医药,2021,43(21):3313-3315.[6]Eom KS,Kim JH,Yoon SH,et al.Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study[J].Chinese Journal of Traumatology (English Edition),2021,24(6):343.[7]Maftoohian M,Assarroudi A,Stewart JJ,et al.Evaluating the Use of a Modified Early Warning Score in Predicting Serious Adverse Events in Iranian Hospitalized Patients:A Prognostic Study[J].Journal of Emergency Nursing,2019,46(1):72-82.[8]Cinzia F,Balestrino M,Malfatto L,et al.National Institutes of Health Stroke Scale in patients with primary intracerebral hemorrhage[J].Neurological Sciences,2018,39(10):74.[9]Bakhsheshian J,Ding L,Tang A,et al.Safety-Net Hospitals Have Higher Complication and Mortality Rates in the Neurosurgical Management of Traumatic Brain Injuries[J].World Neurosurgery,2018,11(9):284-293.[10]卢佩蕾,陈晓荷.应急预案急救护理在预防重症监护室重型创伤性颅脑损伤患者并发颅内感染的应用研究[J].中国药物与临床,2019,19(17):3028-3030.[11]陈美芳,吴月峰,黄春华.危机管理模式结合传统外伤急救护理对急诊颅脑外伤患者的应用效果[J].中华全科医学,2019,17(4):693-695.[12]张君瑞,柴宇霞,韩国杰.全程优质护理联合呼吸道管理对重症颅脑外伤患者的临床效果及对并发症预防的影响[J].山西医药杂志,2021,50(11):1880-1882.[13]杨小丽,姜丽娟,顾玉慧,等.基于初级创伤救治原则的院前急救护理应用于急性颅脑损伤患者对急救效率及并发症的影响[J].现代中西医结合杂志,2019,28(3):324-327.[14]马晓莉.危机管理结合无缝隙一体化急救模式在急重症颅脑损伤患者急救中的应用及效果分析[J].护士进修杂志,2019,34(21):1975-1977.[15]陈庆博,赵旭,苗元芳,等.急诊救治一体化新模式在重症颅脑创伤并意识障碍患者救治中的应用效果[J].实用心脑肺血管病杂志,2018,26(8):70-73.[16]陈洁,王振怡,陈喜惠,等.优化护理干预在重症对冲性颅脑损伤患者急诊抢救中的应用[J].中国地方病防治杂志,2018,33(3):356.[17]徐玮玉,王吉英.重症颅脑外伤患者的一站式急救护理[J].实用临床医药杂志,2018,22(10):38-40.[18]聂培华,孙妮娜.基于量化评估策略下的分层护理在重症颅脑外伤患者术后的应用效果[J].医学临床研究,2021,38(2):319-320.[19]于岩岩,山广慧,金娜.分级护理制度对重症颅脑外伤患者院内感染发生率及ICU入住时间的影响[J].实用临床医药杂志,2017,21(8):68-70.[20]刘珂汐,王亚玲.老年患者重型颅脑外伤术前急救与护理[J].中国急救复苏与灾害医学杂志,2018,13(6):592-593.[21]张海娣.风险管理模式在颅脑外伤患者护理中应用的效果[J].中华现代护理杂志,2020,26(22):3055-3057.[22]於春芳.基于NIHSS评分的分组护理在重型颅脑损伤术后患者中的应用[J].护理实践与研究,2018,15(15):49-51.

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更新日期/Last Update: 1900-01-01