摘要
目的探讨颅底骨折合并硬膜外血肿患者围术期护理质量管理方法。方法选取100例颅底骨折合并硬膜外血肿患者,数字随机表法分为对照组50例和观察组50例。对照组患者围术期护理按照常规流程进行,观察组患者围术期护理接受全面护理质量管理。记录和比较两组患者术后坠床率、住院时间、感染率、抗生素使用时间、引流时间、护理质量评分、Fugl-Meyer运动量表(FMMS)、Barthel指数(BI)、神经功能缺损程度评分量表(CSS)和改良Ashworth痉挛评定量表评分。结果对照组术后坠床率、住院时间、感染率、抗生素使用时间和引流时间均显著高于观察组,差异有统计学意义(均P<0.05)。出院时观察组BI及上下肢FMMS评分显著高于对照组,差异有统计学意义(均P<0.05),CSS及Ashworth评分均显著低于对照组,差异有统计学意义(均P<0.05)。观察组护理安全、专项护理、隔离灭菌、护理记录书写和护理差错各项护理质量评分均显著高于对照组,差异有统计学意义(均P<0.05)。结论通过护理质量管理可有效提升颅底骨折合并硬膜外血肿患者围术期护理质量。
Objective To explore the perioperative nursing quality management of patients with skull base fracture combined with epidural hematoma.Methods A total of 100 patients with skull base fracture combined with epidural hematoma were selected and divided into the control group (50 cases) and the observation group (50 cases) by digital random table method. Perioperative nursing of patients in the control group was carried out in accordance with the routine process,and perioperative nursing of patients in the observation group received comprehensive nursing quality management. Postoperative bed fall rate,hospitalization time,infection rate,antibiotic use time,drainage time,nursing quality score,Fugl-Meyer exercise scale (FMMS),Barthel index (BI),nerve function defect degree score scale (CSS) and modified Ashworth spasm scale score were recorded and compared between the two groups.Results The incidence of postoperative bed fall,length of hospital stay,infection rate,antibiotic use time and drainage time in the control group were significantly higher than those in the observation group,with statistically significant differences(P<0.05). At discharge,BI and FMMS scores of upper and lower limbs in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05),while CSS and Ashworth scores were significantly lower than those of the control group,with statistically significant differences(P<0.05). The nursing quality scores of nursing safety,special nursing,isolation and sterilization,nursing record writing and nursing errors in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Conclusions Nursing quality management can effectively improve perioperative nursing quality of patients with skull base fracture combined with epidural hematoma.
作者
王晓荫
李志华
Wang Xiaoyin;Li Zhihua(Area 2 of Neurosurgery Department,the Central Peoplels Hospital of Tengzhou City in Shandong Province,Tengzhou 277500,China)
出处
《国际护理学杂志》
2018年第24期3403-3407,共5页
international journal of nursing
关键词
颅底骨折
硬膜外血肿
围术期
护理质量管理
Skull base fracture
Epidural hematoma
Perioperative period
Nursing quality management
作者简介
通信作者:李志华,E-mail:2564257643@qq.com.
