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178例重症颅脑损伤患者手术前后的舒适护理体会

材料写作网    时间: 2020-07-29 04:29:04     阅读:

【摘要】 目的:观察重症颅脑损伤手术患者的舒适护理效果,以

总结舒适护理经验,提高护理水平。方法:对178例重症颅脑损伤

(GCS评分≤8分且昏迷>6 h)手术患者分别进行术前、术后舒适护理

,翔实记录患者的出院及预后结局、并发症发生情况、心理疏导疗效

、生活自理恢复能力情况、护理满意度、护患纠纷及护理质量。结果

:死亡12例,自动出院4例,162例不同程度好转或痊愈;口臭发生率

35%,口炎发生率10%,肺部感染发生率12%,褥疮发生率为0;术前术

后心理疏导使家属、患者的心理应激得到极大缓解,负面情绪明显改

善,无一例因悲观厌世而轻生自杀;在生活自理能力恢复方面,

63.4%生存患者不同程度恢复生活自理能力;科室整体护理操作更加

规范,合格率达到96%,整体护理满意度达98.6%,无一例护患纠纷发

生。结论:全方位实行舒适护理可改善患者预后,提高护理满意率,

同时改善护理服务,提高护理质量。

【关键词】 重度颅脑损伤; 术前; 术后; 舒适护理

Comfortable Nursing for 178 Operating Patients with

Severe Craniocerebral Injury/LIU Shu-qing, ZHANG Chun-hua,

LI Shi-yuan.//Medical Innovation of China,2012,9

(33):074-076

【Abstract】 Objective: To observe the effects on

comfortable nursing for the patients with severe

craniocerebral injury and summarize nursing experience.

Method: To keep a detail and accurate records of the

outcomes, the complications, the results of psychological

counseling, the activity of daily life, nursing

satisfaction, nurse-patient dispute, and nursing quality

through comfortable nursing such as emotional adjustment to

the patients and their relatives, positively preoperative

preparations as well as post-operative nursing was

implemented among 178 patients with severe craniocerebral

injury whose Glasgow Coma Score (GCS)≤8 and being in a

coma for more than 6 hours. Result: Among 178 cases, most

were recovered in different degrees f...

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