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Effects of the Levin conservation model applied to the care of patients with craniocerebral injury |
QIAO Yuanyuan1 ZHOU Li2 ZHAO Mingyu3 LIU Pengyu4 YAN Mingchun1 HU Yue1 JIANG Yanyan3▲ |
1.Department of Neurosurgery, the Third Clinical Medical College of Three Gorges University Gezhouba Central Hospital of Sinopharm, Hubei Province, Yichang 443002, China;
2.Department of Hospital Affairs, the Third Clinical Medical College of Three Gorges University Gezhouba Central Hospital of Sinopharm, Hubei Province, Yichang 443002, China;
3.Department of Nursing, the Third Clinical Medical College of Three Gorges University Guoyao Gezhouba Central Hospital, Hubei Province, Yichang 443002, China;
4.Department of Orthopaedic Surgery, the Third Clinical Medical College of Three Gorges University Gezhouba Central Hospital of Sinopharm, Hubei Province, Yichang 443002, China |
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Abstract
[Abstract] Objective To investigate the effects of introducing Levine conservation model intervention in the care of patients with craniocerebral injury. Methods One hundred patients with craniocerebral injury admitted to the Sinopharm Gezhouba Central Hospital from June 2019 to June 2021 were selected and grouped by the random number table method. The conventional group (50 cases) was given conventional care and the intervention group (50 cases) was then given intervention based on the Levin conservation model. After two weeks of the intervention, the patients’ self-management ability, improvement in neurological function, and complications during hospitalization were compared. Results After the intervention, the disease, mood, life, rehabilitation exercise, and social and interpersonal management scores in the intervention group were higher than before the intervention, while those in the intervention group were higher than in the conventional group, with statistically significant differences (P < 0.05). After the intervention, the modified Rankin scale and National Institutes of Health stroke scale scores in both groups were lower than before the intervention, while those in the intervention group were lower in the intervention group than in the conventional group, with statistically significant differences (P < 0.05). The overall complication rate in the intervention group was lower than that in the conventional group, and the difference was statistically significant (P < 0.05). Conclusion Care under the Levin conservation model for patients with craniocerebral injury improves patient self-management and neurological recovery outcomes and reduces complications.
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[1] 赖红宇,王留根,李和平,等.间歇经口至食管管饲法对重型颅脑损伤患者功能恢复的影响[J].中华物理医学与康复杂志,2021,43(12):1117-1120.
[2] 刘艳瑰.颅脑损伤恢复期患者进行综合康复治疗的疗效分析[J].中国医药科学,2021,11(11):223-226.
[3] 杨静,牛瑞芳.高压氧综合护理模式对早期重型颅脑损伤患者的应用效果及并发症预防研究[J].中国全科医学,2021,24(S2):222-225.
[4] 赵博伦,姜安丽.莱温的守恒模式理论及其应用[J].解放军护理杂志,2003(12):45-46.
[5] 王国军,苏吉春,张建林.简明颅脑损伤诊断与治疗学[M].济南:济南出版社,2008:305-306.
[6] 张磊,刘建民.改良Rankin量表[J].中华神经外科杂志,2012(5):512.
[7] 张磊,刘建民.美国国立卫生研究院卒中量表[J].中华神经外科杂志,2014,30(1):79.
[8] 杨芷,童晓飞.颅脑损伤患者家庭远程康复护理的研究进展[J].护理学杂志,2018,33(2):102-105.
[9] 房玉丽,王耀丽,麻媛媛,等.重型颅脑损伤患者喂养不耐受护理研究进展[J].护理学杂志,2021,36(20):104- 106.
[10] 周元,袁慧,任兴珍.国内神经外科护理相关研究现状与趋势分析[J].护理研究,2019,33(7):1115-1119.
[11] 李晨辉.全程护理干预预防颅脑损伤病人术中压疮发生的效果观察[J].护理研究,2019,33(14):2538-2539.
[12] 陈璐,俞丹妮,王芳,等.序贯式排痰护理方案在重型颅脑损伤气管切开病人中的应用[J].护理研究,2021,35(4):712-715.
[13] 吴杰,曾范慧,高亢,等.品管圈在降低重度颅脑损伤患者肺部感染中的应用[J].中国感染控制杂志,2019,18(5):451-454.
[14] 霍艳艳.基于莱温守恒理论的护理干预在脑梗死患者中的应用效果[J].临床医学研究与实践,2021,6(19):169-171.
[15] 胡晓娟.Levine守恒模式及其在临床护理中的应用进展[J].全科护理,2019,17(20):2473-2475.
[16] 柴永萍,乔艳玲,刘斅淑.重度颅脑损伤病人家庭护理随访服务需求及支付意愿调查[J].护理研究,2020,34(17):3130-3132.
[17] 贾天姝.脑外科昏迷患者的医护一体化管理模式探讨[J].中国医科大学学报,2018,47(10):951-953.
[18] 高彩萍,施娟,魏朦,等.加强康复对脑外伤患者康复效果的影响[J].中国护理管理,2018,18(6):835-839.
[19] 邹丹,梁红玉,朱琳,等.23例颅脑外伤合并视神经损伤患者采取优质护理的工作体会[J].中国医药科学,2019, 9(6):143-145.
[20] 刘婷婷,张艳.莱温守恒模式护理干预对急性脑梗死患者自我管理能力、肢体运动及神经功能的影响[J].新疆医科大学学报,2019,42(8):1097-1101.
[21] 曹卓,郑秉杰.持续早期综合护理干预在蛛网膜下腔出血后早期脑损伤患者中的应用[J].实用医学杂志,2018, 34(17):2968-2970.
[22] 史明慧,石彩晓,余晓远.基于信息平台的延续性护理对脑损伤患儿头控能力恢复的效果评价[J].护理研究,2019,33(20):3624-3627.
[23] 王珂,孙琳,武燕,等.颅脑损伤患者人工气道分泌物吸引护理实践的最佳证据总结[J].护理学杂志,2019,34(23):82-85.
[24] 吴凡,绳宇.社会支持网络、自我效能及健康促进行为对老年人影响的路径分析[J].中华护理杂志,2019,54(11):1701-1706.
[25] 冯军,王芳,曹俊杰.莱温守恒模式在脑梗死急性期患者中的应用效果[J].现代中西医结合杂志,2015,24(10):1123-1125. |
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