摘要
目的探讨基于个案分析的循证护理对ICU颅脑外伤患者术后恢复的影响。方法选取2018年12月—2020年12月福建省某医院ICU收治的90例颅脑外伤患者为研究对象,采用随机数字表法将患者分为观察组和对照组,每组45例。对照组患者实施常规护理,观察组患者在对照组基础上实施基于个案分析的循证护理。比较2组患者机械通气时间、ICU住院时间及住院时间;采用生活质量综合评定量表(GQOLI-74)评估2组患者干预前及干预30 d时生活质量;出院时比较2组患者并发症发生情况。结果观察组患者机械通气时间、ICU住院时间及住院时间分别为(3.62±2.25)d、(6.28±1.14)d、(10.26±2.11)d,短于对照组的(7.03±1.88)d、(9.73±2.05)d、(15.37±2.58)d,差异均有统计学意义(P<0.05)。干预后,2组患者GQOLI-74中躯体功能、心理功能、社会功能、物质生活状态评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为6.66%,低于对照组的17.78%,差异有统计学意义(P<0.05)。结论对ICU颅脑外伤患者实施基于个案分析的循证护理可更好地促进患者康复,缩短患者机械通气时间、ICU转出时间及住院时间,提高患者的生活质量,降低并发症发生率,具有较高临床价值,可在ICU颅脑外伤患者的护理干预中进一步推广应用。
Objective To explore the impact of evidence-based care based on case analysis on postoperative recovery in patients with craniocerebral trauma in ICU. Methods Ninety patients with craniocerebral trauma admitted to the ICU of a hospital in Fujian Province from December 2018 to December 2020 were selected for the study, and the patients were divided into observation and control groups using the random number table method, with 45 cases in each group. Patients in the control group received conventional care, and patients in the observation group were given evidence-based care based on case analysis on the basis of the control group. The time of mechanical ventilation, length of ICU stay and hospital stay were compared between the two groups;the quality of life before and at 30 d of intervention was assessed using the general quality of life index(GQOLI-74);the occurrence of complications was compared between the two groups at discharge. Results The time of mechanical ventilation, length of ICU stay and hospitalization time of patients in the observation group were 3.62±2.25 d, 6.28±1.14 d and 10.26±2.11 d,respectively,which were shorter than those of the control group(7.03±1.88 d,9.73±2.05 d and 15.37±2.58 d). The differences were statistically significant(P<0.05). After the intervention, the scores of physical function, psychological function, social function, and material life status in the GQOLI-74 of patients in the two groups were higher than those before the intervention, and the observation group was higher than the control group. The differences were statistically significant(P<0.05). The complication rate of patients in the observation group was 6.66%, which was lower than 17.78% in the control group, and the difference was statistically significant(P<0.05). Conclusion The implementation of evidence-based care based on case analysis for patients with craniocerebral trauma in ICU can better promote patients’ recovery, shorten patients’ mechanical ventilation time, ICU transfer time and hospitalization time, improve patients’ quality of life and reduce the incidence of complications, which has high clinical value and can be further promoted in the nursing interventions for patients with craniocerebral trauma in ICU.
作者
王惠萍
陈华英
童忆婷
林丽君
Wang Huiping;Chen Huaying;Tong Yiting;Lin Lijun(Putian Medical District,Ninth Hospital of the Joint Logistics and Security Forces,Putian Fujian 351100,China)
出处
《保健医学研究与实践》
2021年第6期137-140,共4页
Health Medicine Research and Practice
关键词
个案分析
循证护理
重症监护病房
颅脑外伤
术后并发症
Case study
Evidence-based nursing
Intensive care unit
Craniocerebral trauma
Postoperative complications
作者简介
第一作者:王惠萍,E-mail:whp15154@163.com。
