摘要
目的探究分级护理对重症颅脑外伤术后患者治疗依从性及护理满意度的影响.方法选取2019年5月—2021年5月本院收治的106例重症颅脑外伤术后患者,按照随机数字表法分为对照组和观察组,每组53例.对照组采用常规护理,观察组在对照组基础上实施分级护理,均护理至患者出院.比较两组治疗依从性、负性情绪、护理质量、并发症及护理满意度.结果观察组治疗依从性为96.23%,高于对照组的79.25%,差异有统计学意义(P<0.05).护理前,两组抑郁自评量表(SDS)和焦虑自评量表(SAS)评分比较,组间差异无统计学意义(P>0.05);护理后,观察组SAS和SDS评分分别为(37.56±2.85)分、(38.50±2.31)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组基础护理、病房管理、护理流程、护理技能及健康教育评分分别为(86.36±3.94)分、(92.11±4.05)分、(89.53±5.74)分、(92.11±3.26)分、(90.53±4.48)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为7.55%,低于对照组的22.64%,护理满意度为98.11%,高于对照组的83.02%,组间差异有统计学意义(P<0.05).结论分级护理能够有效提高重症颅脑外伤术后患者治疗依从性,减轻其负性情绪,提高护理质量,降低并发症发生率,促进患者术后恢复,且护理满意度高.
Objective To explore the effect of graded nursing on the treatment compliance and nursing satisfaction of postoperative patients with severe craniocerebral trauma.Methods A total of 106 postoperative patients with severe craniocerebral trauma admitted to the hospital from May 2019 to May 2021 were selected and divided into a control group and an observation group according to the random number table,with 53 cases in each group.The control group adopts routine nursing,and the observation group implements graded nursing on the basis of the control group,and they are all nursing until the patient is discharged.The treatment compliance,negative emotions,nursing quality,complications and nursing satisfaction were compared between the two groups.Results The treatment compliance of the observation group was 96.23%,which was higher than 79.25%of the control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)between the two groups(P>0.05);after nursing,the SAS and SDS scores of the observation group were(37.56±2.85)points and(38.50±2.31)points,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The scores of basic nursing,ward management,nursing process,nursing skills and health education in the observation group were(86.36±3.94)points,(92.11±4.05)points,(89.53±5.74)points,(92.11±3.26)points,(90.53±4.48)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The complication rate in the observation group was 7.55%,which was lower than 22.64%in the control group,and the nursing satisfaction was 98.11%,which was higher than 83.02%in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Graded nursing can effectively improve the treatment compliance of postoperative patients with severe traumatic brain trauma,reduce negative emotions,improve the quality of nursing,reduce the incidence of complications,promote postoperative recovery of patients,and increase nursing satisfaction.
作者
杨军
YANG Jun(Department of Critical Care Medicine,Tengzhou Traditional Chinese Medicine Hospital,Tengzhou Shandong,277599,China)
出处
《反射疗法与康复医学》
2021年第20期33-36,共4页
Reflexology And Rehabilitation Medicine
关键词
重症颅脑外伤
分级护理
治疗依从性
负性情绪
护理质量
并发症
Severe craniocerebral trauma
Graded nursing
Treatment compliance
Negative emotions
Quality of care
Complications
作者简介
杨军(1979-),女,山东滕州人,本科,主管护师,研究方向:重症康复护理。
