| 感知水平唤醒干预护理对ICU颅脑损伤合并重度脑性昏迷患者的应用 |
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| 引用本文： | 吴敏,奚广军. 感知水平唤醒干预护理对ICU颅脑损伤合并重度脑性昏迷患者的应用[J]. 昆明医科大学学报, 2017, 38(10): 145-148 |
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| 作者姓名： | 吴敏 奚广军 |
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| 作者单位： | 1. 无锡市第九人民医院ICU室 |
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| 基金项目： | 基金: 国家自然科学基金资助项目 (81201051); |
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| 摘 要： | 目的 探讨将感知水平唤醒干预护理理念引入ICU颅脑损伤合并重度脑性昏迷患者的应用效果.方法选取2014年1月至2016年11月无锡市第九人民医院收治的84例ICU颅脑损伤合并重度脑性昏迷患者, 随机分为2组, 各42例.对照组行常规护理, 观察组行感知水平唤醒干预护理, 对比2组护理后脑功能恢复、意识状态、苏醒情况.结果 观察组护理后适应环境、语言沟通、行为能力、社会交往评分均高于对照组, 差异有统计学意义 (P<0.05) .观察组苏醒有效率高于对照组, 差异有统计学意义 (P<0.05) .观察组苏醒时间在110 d的苏醒率高于对照组, 差异有统计学意义 (P<0.05) .结论 将感知水平唤醒干预护理理念引入ICU颅脑损伤合并重度脑性昏迷患者效果显著, 可有效提高患者脑功能恢复效果, 改善意识状态和苏醒情况, 值得推广.
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| 关 键 词： | 感知水平唤醒干预 ICU颅脑损伤 重度脑性昏迷 脑功能恢复 意识状态 苏醒情况 |
| 收稿时间： | 2017-05-09 |
Effect of Perceived Mind Nursing Concept on ICU Patients with Craniocerebral Injury Combined with Severe Cerebral Coma |
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| Abstract: | Objective To explore the effect of cognitive level of intervening nursing care on brain function recovery, state of consciousness and awakening in patients with craniocerebral injury combined with severe cerebral coma. Methods From January 2014 to November 2016, 84 patients with ICU craniocerebral injury complicated with severe coma were randomly divided into two groups: 42 cases. The control group was treated by routine nursing group, and the observation group was informed of the level of intervening nursing care, and the brain function recovery, consciousness state and awakening were compared between the two groups. Results The scores of the observation group were higher than those of the control group, the difference was statistically significant (P <0.05) . The survival rate of the observation group was higher than that of the control group, the difference was statistically significant (P<0.05) . The recovery rate of the awakening time in the observation group was higher than that in the control group at 1-10 days (P<0.05) . Conclusions The introduction of cognitive level of intervening care into ICU craniocerebral injury with severe cerebral coma is effective, which can improve the recovery of brain function and improve the state of consciousness and awakening. It is worth popularizing. |
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