[1]李学如,戢德君,罗安志,等.护理干预对重度颅脑外伤患者神经功能及活动能力的改善作用[J].西部中医药,2017,30(11):123-125.
　LI Xueru,JI Dejun,LUO Anzhi,et al.Effects of Nursing Intervention on Neurologic Function and Activity Ability Improvement of the Patients with Severe Traumatic Brain Injury[J].Western Journal of Traditional Chinese Medicine,2017,30(11):123-125.
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护理干预对重度颅脑外伤患者神经功能及活动能力的改善作用()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年11期
页码:
123-125
栏目:
出版日期:
2017-11-15

文章信息/Info

Title:
Effects of Nursing Intervention on Neurologic Function and Activity Ability Improvement of the Patients with Severe Traumatic Brain Injury
文章编号:
1004-6852(2017)11-0123-03
作者:
李学如，戢德君，罗安志，张紫寅△
眉山市人民医院神经外科，四川 眉山 610020
Author(s):
LI Xueru, JI Dejun, LUO Anzhi, ZHANG Ziyin△
Department of Neurosurgery, Meishan City People′s Hospital, Meishan 610020, China
关键词:
重度颅脑外伤; 神经功能缺损评分; 护理干预
Keywords:
severe traumatic brain injury;  NIHSS;  nursing intervention
分类号:
R641
摘要:
目的：探讨护理干预对重度颅脑外伤患者神经功能及活动能力的改善作用。方法：将接受手术治疗的重度颅脑外伤术后实施系统性护理干预的42例患者作为干预组；仅接受常规护理干预的42例患者作为对照组。利用汉密尔顿抑郁量表(HAMD)、神经功能缺损评分(NIHSS)和匹兹堡睡眠质量指数(PSQI)量表对2组患者护理前后的神经功能进行评估，利用生活质量指数量表(QL-index)对患者的活动能力进行评价。结果：2组患者护理前HAMD、NIHSS、PSQI评分及QL-index各项得分比较差异无统计学意义(P＜0.05)；护理后观察组HAMD、NIHSS、PSQI、QL-index评分各维度得分及总分均较护理前改善(P＜0.05)，且观察组改善程度优于对照组(P＜0.05)。结论：系统性护理干预能明显提升重度颅脑外伤患者的神经功能，改善睡眠质量和生活质量。
Abstract:
Objective: To discuss the effects of nursing intervention on neurologic function and activity ability improvements of the patients with severe traumatic brain injury(TBI). Methods: Forty-two patients suffering severe TBI who accepted the surgery, received nursing intervention after the operation and they were taken as the intervention group, another 42 patients who received routine nursing intervention were chosen as the control group. Neurologic function of the patients in both groups were assessed by using HAMD, NIHSS and Pittsburgh Sleep Quality Index (PSQI) before and after the care, activity ability of the patients were evaluated by using quality of life index (QL-index). Results: The difference had no statistical meaning in the comparison of HAMD, NIHSS, PSQI and QL-index scales between both groups before the nursing (P＜0.05); after the nursing, the dimension scales of HAMD, NIHSS, PSQI scales and QL-index scales as well as total scales of the observation group improved compared with before the nursing, and the improvements of the observation group were superior to these of the control group (P＜0.05). Conclusion: Nursing intervention could obviously lift neurologic function of the patients with severe TBI, as well as improve sleeping quality and quality of life.

相似文献/References:

[1]张黎珍.缺血性脑卒中患者实施早期康复护理效果观察[J].西部中医药,2015,28(01):87.
[2]孙博,周其辉.七叶皂苷钠联合甘露醇治疗脑出血53例[J].西部中医药,2017,30(04):97.
　SUN Bo,ZHOU Qihui.Combination of Sodium Aeseinate and Mannitol in the Treatment of 53 Patients with Intracerebral Hemorrhage[J].Western Journal of Traditional Chinese Medicine,2017,30(11):97.

备注/Memo

备注/Memo:
收稿日期：2017-04-14 作者简介：李学如(1969—)，女，主管护师。研究方向：神经外科疾病的护理。 △通讯作者：张紫寅(1985—)，男，博士学位，主治医师。研究方向：神经介入与功能神经外科学。
更新日期/Last Update: 2017-11-15