针对性护理干预对病毒性脑膜炎合并症状性癫痫患者昏迷程度、自理能力及护理满意度的影响

目的探讨针对性护理干预对病毒性脑膜炎合并症状性癫痫患者昏迷程度、自理能力及护理满意度的影响。方法回顾性分析2017年5月至2020年5月我院收治的病毒性脑膜炎合并症状性癫痫患者92例,根据护理方法不同分为对照组47例(常规护理干预)和观察组45例(常规护理干预+针对性护理干预)。对比两组患者护理前后生活质量、昏迷程度、自理能力及两组患者护理满意度情况。结果护理后两组患者世界卫生组织生存质量测定量表(WHOQOL-100)(心理、生理、环境、社会关系)、巴氏量表(BI)(自我照顾、运动能力)评分均升高,且观察组各项评分明显高于对照组(P<0.05),两组患者格拉斯哥昏迷指数(GCS)睁眼反应、语言反应、运动反应评分均较护理前降低,且观察组各项评分明显低于对照组(P<0.05);观察组护理总满意度明显高于对照组(P<0.05)。结论针对性护理干预可提高病毒性脑膜炎合并症状性癫痫患者的生活质量,改善其昏迷状态及日常生活能力,取得了较高的护理满意度,临床实施价值大。

The effect of targeted nursing intervention on the degree of coma,self-care ability and nursing satisfaction of patients with viral meningitis complicated with symptomatic epilepsy

Objective To explore the effect of targeted nursing intervention on the degree of coma,self-care ability and nursing satisfaction of patients with viral meningitis complicated with symptomatic epilepsy.Methods The clinical data of patients with viral meningitis and symptomatic epilepsy admitted to our hospital from May 2017 to May 2020 were retrospectively analyzed.According to different nursing methods,they were divided into control group(n=47)and observation group(n=45).The control group was treated with routine nursing intervention while the observation group was treated with conventional nursing intervention+targeted nursing intervention.The quality of life,degree of coma,self-care ability and satisfaction with care before and after care were compared between the two groups.Results The scores in World Health Organization quality of life(WHOQOL-100)scale(psychological,physiological,environmental and social relations)and Barthel Index(BI)(self-care and athletic ability)of patients in the two groups were increased after nursing(P<0.05),and the scores of the observation group were significantly higher than those of the control group(P<0.05).After nursing,the scores of Glasgow Coma Scale(GCS)such as eye opening response,language response and exercise response of patients in the two groups were reduced,and the scores in the observation group were significantly lower than those of the control group(P<0.05).The total satisfaction with nursing of patients in the control group was significantly lower than that in the observation group(P<0.05).Conclusion Targeted nursing intervention can improve the quality of life of patients with viral meningitis and symptomatic epilepsy,improve their coma and ability of daily living,and achieve a high nursing satisfaction.The clinical implementation value is great.