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目的探讨综合护理干预在接受肠内营养(EN)治疗重症颅脑损伤的应用效果。方法行EN治疗的重症颅脑患者187例,随机分为两组:试验组93例,实施综合性的护理干预措施;对照组94例,实施传统的临床护理。记录1、7、14、21d的GCS评分,比较两组患者并发症发生情况和预后。结果试验组腹泻、腹胀和便秘、肢体肌萎缩、抑郁和焦虑发生率均低于对照组(P<0.05或P<0.01)。试验组患者的预后较对照组好,病程14d的GCS评分高于对照组(P<0.01),伤残(7.53%vs.17.02%)和病死率(5.38%vs.8.51%)亦低于对照组(P<0.05)。结论采用综合护理干预措施,能有效增强患者抵御疾病的信心,降低并发症的发生,改善预后。
Objective To investigate the effect of comprehensive nursing intervention on enteral nutrition (EN) in the treatment of severe craniocerebral injury. Methods A total of 187 severe craniocerebral patients treated with EN were randomly divided into two groups: 93 cases in the experimental group and comprehensive nursing interventions; 94 cases in the control group were treated with traditional clinical nursing. The GCS scores of 1, 7, 14 and 21 days were recorded, and the complication and prognosis were compared between the two groups. Results The incidence of diarrhea, bloating and constipation, limb atrophy, depression and anxiety in the experimental group were all lower than those in the control group (P <0.05 or P <0.01). The prognosis of the trial group was better than that of the control group. The 14-day GCS score was higher than that of the control group (P <0.01). The disability (7.53% vs.17.02%) and the case fatality rate (5.38% vs.8.51% Group (P <0.05). Conclusion The comprehensive nursing interventions can effectively enhance the patients’ confidence to resist the disease, reduce the incidence of complications and improve the prognosis.