前瞻性理论引导的零缺陷护理模式在重症颅脑损伤急诊救治中的应用

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Abstract Objective To explore the application of prospective theory guided zero defect nursing mode in emergency treatment of severe craniocerebral injury. Methods A total of 129 patients with severe craniocerebral injury admitted to the First Affiliated Hospital of Air Force Military Medical University from March 2019 to March 2021 were randomly divided into group A, B and C, with 43 cases in each group. After emergency admission, group A received routine emergency nursing, group B received routine emergency nursing + zero defect nursing mode, and group C received routine emergency nursing + prospective theory guided zero defect nursing mode. The emergency room treatment time and emergency treatment success rate of the three groups were compared. Glasgow coma scale (GCS) were compared between the three groups at admission and transfer out of the emergency room. The mortality and complications of the three groups during emergency treatment were compared. Results The time of emergency room treatment in group C were shorter than those in group A and group B, and group B was shorter than group A (P ＜ 0.05); the success rate of emergency treatment in group C was higher than that in group A (P ＜ 0.017). The GCS scores of the three groups were higher when they were transferred out of the emergency room than when they were admitted to the hospital, and group C were higher those in group A and group B, and group B was higher than group A (P ＜ 0.05). The mortality and complication rate of group C were significantly lower than those of group A (P ＜ 0.017). Conclusion The application of the prospective theory guided zero defect nursing mode in severe brain injury patients can significantly shorten the emergency treatment time, reduce the occurrence of complications, and has the value of popularization and application.

Key words： Pnospective theory Zero defect nursing Severe craniocerebral injury Emergency treatment effect

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	ZHANG Weijuan1 REN Shengnan2▲

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ZHANG Weijuan1 REN Shengnan2▲. Application of zero defect nursing mode guided by prospective theory in emergency treatment of severe craniocerebral injury#br#[J]. 中国医药导报, 2021, 18(29): 166-169.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I29/166

[1] Sharma B，Changoor AT，Monteiro L，et al. The scale of neurodegeneration in moderate-to-severe traumatic brain injury：a systematic review protocol [J]. Syst Rev，2019，8（1）：332.
[2] Lueckel SN，Teno JM，Stephen AH，et al. Population of Patients With Traumatic Brain Injury in Skilled Nursing Facilities：A Decade of Change [J]. J Head Trauma Rehabil，2019，34（1）：39-45.
[3] Turner-Stokes L，Dzingina M，Shavelle R，et al. Estimated Life-Time Savings in the Cost of Ongoing Care Following Specialist Rehabilitation for Severe Traumatic Brain Injury in the United Kingdom [J]. J Head Trauma Rehabil，2019，34（4）：205-214.
[4] 国莉莉，刘晓曼.前瞻性护理应用于急性心肌梗死中的效果分析[J].中国循证心血管医学杂志，2019，11（6）：716-718.
[5] 易玲.前瞻性护理预防脑卒中患者下肢深静脉血栓形成的效果[J].血栓与止血学，2020，26（2）：171-173.
[6] 赵会芳.前瞻性针对护理对脑出血偏瘫患者运动功能及生活质量的影响[J].山西医药杂志，2020，49（11）：1446-1448.
[7] 倪晓琴，高永丽，李志华.零缺陷护理服务对COPD合并呼吸衰竭病人焦虑抑郁评分，耐受率及1s用力呼吸容积的影响[J].现代医学，2020，48（2）：140-143.
[8] 王海彦，张少琼，刘哲.零缺陷护理管理理念在风湿性心脏病瓣膜置换术患者康复护理中的应用[J].广东医学，2020，41（19）：85-88.
[9] 王阿蕾，王强君，杜雪琴，等.“零缺陷”护理应用于小儿阑尾炎术后的效果观察[J].现代医学，2019，47（7）：112-115.
[10] 郭海凌，孙建华，孙丹丹，等.ICU护士评估格拉斯哥昏迷量表的准确性现状及影响因素分析[J].中华现代护理杂志，2018，24（6）：643-646.
[11] 严海霞.CT对重型颅脑损伤的诊断与预后评估的临床价值[J].实用临床医药杂志，2015，19（24）：161-162.
[12] Abdelmalik PA，Draghic N，Ling GSF. Management of moderate and severe traumatic brain injury [J]. Transfusion，2019，59（2）：1529-1538.
[13] Anstey JR，Taccone FS，Udy AA，et al. Early Osmotherapy in Severe Traumatic Brain Injury：An International Multicenter Study [J]. J Neurotrauma，2020，37（1）：178-184.
[14] Kohnen R，Lavrijsen J，Smals O，et al. Prevalence and characteristics of neuropsychiatric symptoms，quality of life and psychotropics in people with acquired brain injury in long-term care [J]. J Adv Nurs，2019，75（12）：3715-3725.
[15] Winkens I，van Heugten C，Pouwels C，et al. Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury [J]. Neuropsychol Rehabil，2019，29（4）：605-624.
[16] Koval RR，Zalesky CC，Moran TP，et al. Concussion Care in the Emergency Department：A Prospective Observational Brief Report [J]. Ann Emerg Med，2020，75（4）：483-490.
[17] 陈华利，范海燕，李翠华，等.前瞻性针对护理对脑出血偏瘫患者独立生活能力与神经功能的影响[J].河北医药，2019，41（2）：155-158.
[18] 石蕾，吴培.前瞻性护理对蛛网膜下腔出血患者脑血管痉挛，神经功能及康复的影响[J].河北医药，2020，42（12）：1915-1917.
[19] 李晴，李亚丽.零缺陷服务理念在重型脑挫裂伤气管切开患者护理中的应用效果[J].中国急救医学，2018，38（2）：257.
[20] 钟灿华.零缺陷护理应用于经皮冠状动脉介入治疗术后上消化道出血患者的效果随访及研究[J].现代消化及介入诊疗，2017，22（26）：893-895.
[21] 吴红霞，符少剑.前瞻性信息化护理质量管理模式对内科护理管理质量的影响[J].中国数字医学，2020，15（1）：109-111.
[22] 王俊，张敏.急诊科护理中应用优质护理服务的作用探析[J].实用心脑肺血管病杂志，2018，26（2）：205-207.
[23] Bivona U，Costa A，Contrada M，et al. Depression，apathy and impaired self-awareness following severe traumatic brain injury：a preliminary investigation [J]. Brain Inj，2019，33（9）：1245-1256.
[24] 谌昆.护理干预预防重症颅脑损伤患者肺部感染的效果研究[J].中国医药科学，2019，9（16）：174-176.
[25] 王小格.围术期护理干预在改善重症颅脑损伤患者肺功能及提高患者生活质量中的作用[J].中国医药科学，2019，9（7）：95-98.
[26] Goumo?觕ns V，Didier A，Mabire C，et al. Families’ Needs of Patients With Acquired Brain Injury：Acute Phase and Rehabilitation [J]. Rehabil Nurs，2019，44（6）：319-327.