親情撫觸聯(lián)合呼喚法對重型腦損傷昏迷患者促醒的臨床價值(1)
[摘要] 目的 探討親情撫觸聯(lián)合呼喚法對重型腦損傷昏迷患者促醒的臨床價值。 方法 選取本院2010年10月~2013年12月診治的44例重型腦損傷昏迷患者作為研究對象,隨機(jī)分為對照組和觀察組,各22例。對照組給予常規(guī)治療及護(hù)理,觀察組在對照組的基礎(chǔ)上給予親情撫觸聯(lián)合呼喚法,比較兩組的蘇醒情況及患者家屬滿意度。 結(jié)果 觀察組的蘇醒率、患者家屬滿意度顯著高于對照組,差異有統(tǒng)計學(xué)意義(P<0.05)。觀察組的蘇醒時間顯著短于對照組,差異有統(tǒng)計學(xué)意義(P<0.05)。觀察組治療2、3、4周時的GCS評分顯著高于對照組,差異有統(tǒng)計學(xué)意義(P<0.05)。 結(jié)論 親情撫觸聯(lián)合呼喚法對重型腦損傷昏迷患者有明顯的促醒效果,可明顯縮短患者的蘇醒時間。
[關(guān)鍵詞] 親情撫觸聯(lián)合呼喚法;重型腦損傷;昏迷;促醒
[中圖分類號] R651.1+5 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721(2015)02(a)-0193-03
Clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury
MA Jing
Department of the Second Cerebral Surgery,Heilongjiang Provincial Hospital,Harbin 150000,China
[Abstract] Objective To explore clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury. Methods 44 coma patients with severe brain injury from October 2010 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group,22 cases in each group.The control group was given routine treatment and nursing care,the observation group was given family touch combined with calling method on the basis of the control group.Wake conditions and satisfaction of family members of patient in two groups was compared. Results Recovery rate and satisfaction of family members of patient in the observation group was significantly higher than that in the control group,with significant difference(P<0.05). Recovery time in the observation group was significantly shorter than that in the control group,with significant difference(P<0.05).GCS scores at treatment 2,3,4 weeks in the observation group was significantly higher than that in the control group,with significant difference(P<0.05). Conclusion Family touch combined with calling method has significant wake-promoting effect in coma patients with severe brain injury,which can significantly shorten recovery time.
[Key words] Family touch combined with calling method;Severe brain injury;Coma;Wake up
重型腦損傷是較為常見的神經(jīng)外科急重癥,而昏迷是較為常見的后遺癥,具有較高的致死率和致殘率[1-2],能夠直接危及患者的生命,影響患者的預(yù)后。呼喚法護(hù)理干預(yù)可以在一定程度上調(diào)整神經(jīng)元的興奮性,協(xié)助建立神經(jīng)功能網(wǎng)絡(luò),幫助機(jī)體實現(xiàn)功能重建,起到重塑的效果[3-4]。本研究選取本院收治的44例重型腦損傷昏迷患者作為研究對象,探討親情撫觸聯(lián)合呼喚法對重型腦損傷昏迷患者促醒的臨床價值。
1 資料與方法
1.1 一般資料
選取本院2010年10月~2013年12月診治的44例重型腦損傷昏迷患者作為研究對象。納入標(biāo)準(zhǔn):受傷到入院時間為2~9 h,平均(4.3±1.2) h;GCS評分為3~8分,平均(5.1±0.7)分。排除患有其他器質(zhì)性疾病、血液性疾病、免疫性疾病、精神疾病、感染性疾病的患者。采用隨機(jī)數(shù)字表法分為兩組,各22例。對照組中,男性14例,女性8例;年齡為16~70歲,平均(43.2±10.7)歲;致傷原因:車禍傷18例,高處墜落傷3例,打擊傷1例。觀察組中,男性13例,女性9例;年齡為15~71歲,平均(42.9±11.3)歲;致傷原因:車禍傷16例,高處墜落傷4例,打擊傷2例。兩組的年齡、性別、受傷到入院時間、GCS評分等一般資料比較,差異無統(tǒng)計學(xué)意義(P>0.05),具有可比性。 (馬靜)
[關(guān)鍵詞] 親情撫觸聯(lián)合呼喚法;重型腦損傷;昏迷;促醒
[中圖分類號] R651.1+5 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721(2015)02(a)-0193-03
Clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury
MA Jing
Department of the Second Cerebral Surgery,Heilongjiang Provincial Hospital,Harbin 150000,China
[Abstract] Objective To explore clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury. Methods 44 coma patients with severe brain injury from October 2010 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group,22 cases in each group.The control group was given routine treatment and nursing care,the observation group was given family touch combined with calling method on the basis of the control group.Wake conditions and satisfaction of family members of patient in two groups was compared. Results Recovery rate and satisfaction of family members of patient in the observation group was significantly higher than that in the control group,with significant difference(P<0.05). Recovery time in the observation group was significantly shorter than that in the control group,with significant difference(P<0.05).GCS scores at treatment 2,3,4 weeks in the observation group was significantly higher than that in the control group,with significant difference(P<0.05). Conclusion Family touch combined with calling method has significant wake-promoting effect in coma patients with severe brain injury,which can significantly shorten recovery time.
[Key words] Family touch combined with calling method;Severe brain injury;Coma;Wake up
重型腦損傷是較為常見的神經(jīng)外科急重癥,而昏迷是較為常見的后遺癥,具有較高的致死率和致殘率[1-2],能夠直接危及患者的生命,影響患者的預(yù)后。呼喚法護(hù)理干預(yù)可以在一定程度上調(diào)整神經(jīng)元的興奮性,協(xié)助建立神經(jīng)功能網(wǎng)絡(luò),幫助機(jī)體實現(xiàn)功能重建,起到重塑的效果[3-4]。本研究選取本院收治的44例重型腦損傷昏迷患者作為研究對象,探討親情撫觸聯(lián)合呼喚法對重型腦損傷昏迷患者促醒的臨床價值。
1 資料與方法
1.1 一般資料
選取本院2010年10月~2013年12月診治的44例重型腦損傷昏迷患者作為研究對象。納入標(biāo)準(zhǔn):受傷到入院時間為2~9 h,平均(4.3±1.2) h;GCS評分為3~8分,平均(5.1±0.7)分。排除患有其他器質(zhì)性疾病、血液性疾病、免疫性疾病、精神疾病、感染性疾病的患者。采用隨機(jī)數(shù)字表法分為兩組,各22例。對照組中,男性14例,女性8例;年齡為16~70歲,平均(43.2±10.7)歲;致傷原因:車禍傷18例,高處墜落傷3例,打擊傷1例。觀察組中,男性13例,女性9例;年齡為15~71歲,平均(42.9±11.3)歲;致傷原因:車禍傷16例,高處墜落傷4例,打擊傷2例。兩組的年齡、性別、受傷到入院時間、GCS評分等一般資料比較,差異無統(tǒng)計學(xué)意義(P>0.05),具有可比性。 (馬靜)