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Application of operating room nursing combined with ward nursing in patients with severe head injury |
YANG Li′na1 CHEN Ye1 LI Lili2 SUN Rong1 |
1.The Operating Room, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China;
2.Department of Brain Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore the application effect of operating room nursing combined with ward nursing in patients with severe head injury. Methods From June 2014 to June 2015, 126 patients with severe craniocerebral injury were admitted to the Operating Room of the First Affiliated Hospital of Harbin Medical University, the patients were divided into the control group (from June to December 2014) for routine nursing intervention, the observation group (from January 2015 to June 2016) carried out the nursing mode of operation room nursing and ward nursing, with 63 cases in each group. After nursing, the quality of emergency care (pre-hospital emergency response time, emergency department treatment time, patient prognosis and the inicdence of transport accident) was compared between the two groups. Nursing satisfaction was observed in both groups. Results The pre-hospital emergency response time and emergency department treatment time of the observation group were shorter than those of the control group, and the difference was statistically significant (P < 0.05). The cure rate and nursing satisfaction in the observation group were higher than those in the control group, and the mortality rate and the incidence of transport accidents in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). Conclusion In patients with severe craniocerebral injury, the nursing mode of operation room nursing and ward nursing can improve the quality of first-aid nursing and nursing satisfaction.
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[1] 吴在德,吴肇汉.外科学[M].7版.北京:人民卫生出版社,2008:254-255.
[2] 张华,古伟城,陈杰明,等.亚低温治疗在急危重症患者脑保护中的应用[J].中国当代医药,2017,24(27):21-24.
[3] 周卫红,许民辉,周继红.颅脑创伤严重程度与结局评分的方法--格拉斯哥评分[J].伤害医学:电子版,2013,2(3):31-36.
[4] 贺琳,刘梦焦,王敬华.早期康复护理对重型颅脑损伤术后肢体偏瘫患者康复效果的影响[J].医疗装备,2017,30(17):154-155.
[5] 武玉红.分阶段延伸护理对重型颅脑损伤术后偏瘫患者肢体功能及生活质量的影响观察[J].基层医学论坛,2017,21(12):1455-1456.
[6] 段素伟,王田珍,杨兰春.探讨早期康复护理在重型颅脑损伤患者术后偏瘫肢体护理中的应用[J].临床研究,2016,24(7):202-204.
[7] 武化云,李娟,韩轶鹏,等.PDCA护理模式在重型颅脑损伤患者院内感染防治中的应用[J].武警医学,2016,27(6):565-567.
[8] 梁翠柳.一体化急救护理新模式在重型颅脑损伤患者急救中的应用[J].深圳中西医结合杂志,2016,26(16):168-170.
[9] 黄鹏,黄寨.早期肠内营养支持在重型颅脑损伤患者中的合理应用新进展[J].医学综述,2017,21(13):2293-2294.
[10] 刘伟贤,龚杰,赵东,等.早期含益生菌肠内营养支持方案对重型颅脑损伤患者血清白蛋白水平、炎性细胞因子及GCS评分的影响[J].世界华人消化杂志,2018,26(13):803-809.
[11] 薛海,孟祥雨,董千金,等.重型颅脑损伤并发医院获得性肺炎的相关因素分析[J].中华神经外科杂志,2018, 34(2):90-91.
[12] 张文婷,高媛媛.多学科护理在ICU重度颅脑损伤合并肺部感染患者中的应用研究[J].护理实践与研究,2018, 15(10):78-79.
[13] 张慧颖,石艳红,邵秀芹.颅脑损伤气管切开术后吞咽障碍康复的Meta分析[J].全科护理,2017,15(14):220-221.
[14] 夏芸.对重型颅脑损伤患者进行一体化急救护理的临床效果分析[J].当代医药论丛,2015,13(19):107-108.
[15] 李桂琴,宋建文.一体化急救护理新模式在车祸致重型颅脑损伤患者中的应用效果[J].浙江创伤外科,2016, 21(1):198-200.
[16] 戴国栋,汪娟,李文英.优质护理服务模式在重型颅脑损伤患者中的应用效果观察[J].实用心脑肺血管病杂志,2017,25(1):136-137.
[17] 邵敏.优质护理在颅脑外伤患者中的应用效果观察[J].中国医药指南,2015,13(12):245-246.
[18] 管穗丽.一体化急救护理新模式在重型颅脑损伤患者中的应用效果[J].中国药物经济学,2015(7):200-201.
[19] 黄勤慧,王世华.Orem理论在NICU重型颅脑损伤患者转普通病房过渡期护理中的应用效果[J].全科医学临床与教育,2016,14(2):228-230.
[20] 朱从健.重型颅脑损伤救治中一体化急救的应用价值评析[J].中国继续医学教育,2015,7(19):110-111.
[21] 林健,林秋文,何育教.一体化急救护理新模式在重型颅脑损伤患者急救中的应用效果[J].医学理论与实践,2017,30(5):748-750.
[22] 马更平,康全利,陈善文.早期免疫营养对重型颅脑损伤患者营养状态及免疫学指标的影响[J].海南医学院学报,2015,21(4):498-499.
[23] 朱泉,彭英,王俊红.无缝隙护理在手术室护理中的应用效果探究[J].中外医学研究,2018,16(26):121-122. |
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