系统护理干预对恢复期颈髓损伤患者的综合效果评价

目的 分析护理干预对恢复期颈髓损伤患者的护理效果及对患者医疗费用等的影响.方法 将36例恢复期颈髓损伤患者随机分为实验组和对照组,每组各18例,对照组行颈髓损伤疾病的常规护理,实验组在对照组的基础上给予系统护理干预,包括呼吸训练、雾化吸入、预防性的振动排痰治疗、心理干预,分别在干预前、干预后1个月对两组患者的焦虑和抑郁情况、肺部感染发生率、排痰效果、住院天数、生活质量、医疗费用等情况进行综合效果评价.结果 干预后患者的焦虑和抑郁评分降低（P＜0.05）;实验组患者的排痰效果、肺部感染情况及住院天数明显优于对照组（P＜0.05）;生活质量明显高于对照组（P＜0.05）;实验组医疗费用明显低于对照组（P＜0.05）.结论 系统护理干预优于常规护理方法;呼吸训练、预防性的振动排痰治疗、雾化吸入,可降低肺部感染的发生率及医疗费用,缩短住院日,减轻了护理人员的工作强度;心理干预可减轻患者心理压力,促进康复,提高患者生活质量.

Comprehensive Effects Evaluation of Systematic Nursing Intervention on Patients with Cervical Spinal Cord Injury in Recovery Period

Objective： To analyze the effect of nursing intervention to mitigate the symptoms and medical ex- penses of patients with cervical spinal injury. Methods： 36 patients with cervical spinal cord injury in the recov- ery period were randomly divided into experimental group and control group with 18 cases in each group. The conventional care was implemented for cervical spinal cord injury patients in the control group,and the experi- mental group was given the system nursing intervention on the basis of medical care in the control group, includ- ing breathing exercises ,aerosol inhalation ,preventative vibration sputum discarding treatment,and mental inter- ventions. Then comprehensive effect evaluation was carried out to compare anxiety and depression, occurrence rate of pulmonary infection,sputum excretion results,length of stay,quality of life,medical expenses,and other situa- tions of patients in both groups 1 month after the intervention. Results： The patients＇ anxiety and depression scores reduced （P〈0.05） after the intervention. The sputum excretion resuhs,the occurrence of pulmonary infec- tion, and length of stay of patients in the experimental group were obviously superior to those of patients in control group （P〈0.05）. The life quality of the experimental group was much better than that of the control group （P〈 0.05）. The medical expenses of the experimental group was significantly lower than that of the control group （P〈 0.05）. Conclusion： Systematic nursing intervention is superior to conventional care method. Breathing exercises, preventative vibration sputum discarding treatment and aerosol inhalation can reduce occurrence rate of pulmonary infection and medical expenses, shorten the length of stay, and alleviate the working strength of nursing personnel. Mental intervention can relieve mental stress of patients, so as to promote their recovery and improve their quality of life.