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重型颅脑损伤患者早期康复护理效果分析
作者姓名:陈敏
作者单位:江汉大学附属湖北省第三人民医院放射科
摘    要:目的探讨对重型颅脑损伤患者拟定早期康复护理方案应用于术后偏瘫肢体护理中的可行性。方法选择本院2016年9月—2018年9月收治的100例重型颅脑损伤患者作为实验对象;数字奇偶法分组后探究每组拟定的术后偏瘫肢体护理方案;比照组(50例):拟定传统常规护理干预方案展开;试验组(50例):拟定传统常规护理干预方案+早期康复护理干预方案展开;就组间改良巴氏指数(Modified Barthel Index,MBI)评分以及总并发症比例展开对比。结果护理前,试验组重型颅脑损伤患者MBI评分同比照组比较差异无统计学意义(P>0.05);护理后,试验组MBI评分明显高于比照组,差异有统计学意义(P<0.05);试验组重型颅脑损伤患者总并发症比例(6.00%)明显低于比照组(52.00%),差异有统计学意义(P<0.05)。结论重型颅脑损伤患者于临床接受早期康复护理干预后,利于MBI评分提升以及总并发症比例的降低,最终促进重型颅脑损伤患者的疾病转归。

关 键 词:早期康复护理  重型颅脑损伤  术后偏瘫  肢体护理  MBI评分  并发症

Early Rehabilitation Nursing Effect Analysis of Severe Craniocerebral Injury Patients
Authors:CHEN Min
Institution:(Department of Radiology,Third People's Hospital of Hubei Province Affiliated to Jianghan University,Wuhan Hubei 430033,China)
Abstract:Objective To explore the feasibility of early rehabilitation nursing program for patients with severe craniocerebral injury in postoperative hemiplegia and limb nursing.Methods 100 patients with severe craniocerebral injury admitted to the hospital from September 2016 to September 2018 were selected as experimental subjects.After grouping by digital parity method,the nursing plan of postoperative hemiplegia in each group was explored.The comparison group(50 cases)was used the development of traditional routine nursing intervention program;the experimental group(50 cases)was used the development of traditional routine nursing intervention plan+early rehabilitation nursing intervention plan;the MBI(Modified Barthel Index)score and the proportion of total complications were compared between the groups.Results Before nursing,the MBI score of patients with severe craniocerebral injury in the experimental group was not statistically significant different from that in the comparison group(P>0.05).After nursing,MBI score in the experimental group was significantly higher than that in the comparison group,the difference was statistically significant(P<0.05).The proportion of total complications in patients with severe craniocerebral injury in the experimental group(6.00%)was significantly lower than that in the control group(52.00%),the difference was statistically significant(P<0.05).Conclusion Patients with severe craniocerebral injury receive early rehabilitation nursing intervention in clinical practice,which is conducive to the improvement of MBI score and the reduction of the proportion of total complications,and ultimately promote the disease outcome of patients with severe craniocerebral injury.
Keywords:early rehabilitation nursing  severe craniocerebral injury  postoperative hemiplegia  physical care  MBI scores  complications
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