综合护理对重症颅脑损伤昏迷患者气管切开术并发症发生率的影响分析

2024-03-31曾湘衡

婚育与健康 2024年4期

曾湘衡

【摘要】目的：探究综合护理对重症颅脑损伤昏迷患者的应用效果。方法：患有重癥颅脑损伤并伴随昏迷症状且经气管切开术干预的患者（n=72）收录，入院时间最长的为2021年11月，时间最短的为2022年10月，以电脑抽号法分两组分别经综合护理、常规护理且均含有36例患者的研究组、常规组，两组患者接受不同护理后的差异性进行对比。结果：研究组、常规组对比，生活质量提示：前组更优（P<0.05）；并发症发生率提示，前组更低（P<0.05）；负性情绪提示，前组更低（P<0.05）。结论：对于患有重症颅内损伤并伴随昏迷症状且经气管切开术干预的患者而言，为患者提供综合护理，这种方式对患者的护理效果显著，且对患者的并发症起到控制作用，对患者的负性情绪起到缓解作用，值得临床推广应用。

【关键词】综合护理；重症颅脑损伤；气管切开术；并发症发生情况；应用价值

Analysis of the influence of comprehensive nursing on the complication rate of tracheotomy in coma patients with severe craniocerebral injury

ZENG Xiangheng

Hunan Provincial Peoples Hospital （The First Affiliated Hospital of Hunan Normal University）， Changsha， Hunan 410000， China

【Abstract】Objective： To explore the effect of comprehensive nursing on coma patients with severe craniocerebral injury. Methods： Patients with severe craniocerebral injury accompanied by coma and treated with tracheotomy were included （n=72）. The longest admission time was November 2021， and the shortest time was October 2022. They were divided into 2 groups by computer sampling method， which received comprehensive care and routine care respectively， and both included 36 patients in the study group and routine group. The difference between the two groups after receiving different care was compared. Results： Comparing the study group and the conventional group， the quality of life in the former group was better（P<0.05）； The incidence of complications was lower in the former group（P<0.05）. Negative emotion suggested that the former group was lower （P<0.05）. Conclusion： For patients with severe intracranial injury accompanied by coma symptoms and intervention by tracheotomy， providing comprehensive nursing care for patients has significant nursing effect on patients， controlling the complications of patients and alleviating the negative emotions of patients， which is worthy of clinical promotion and application.

【Key Words】Comprehensive nursing； Severe craniocerebral injury； Tracheotomy； The occurrence of complications； Application value

重症颅脑损伤患者的病情紧急，其脑部组织在诸多因素的作用下受到损害，患者极易表现出昏迷的症状，为了保障患者的生命体征正常，确保患者可以正常呼吸，通常需要为患者提供高效性的干预。气管切开术是临床治疗重症颅脑损伤患者时的常用措施。该术式有利于改善患者的呼吸道梗死的现象，从而促进患者恢复清醒[1-2]。但是，该术式容易对患者的身心造成一定的创伤，并且患者的病情状况进展较快。故而需要加以护理服务。既往，临床应用的常规护理主要是根据医嘱实施，其效果并不显著。综合护理则是为患者提供全方位的护理服务，从而改善患者的各项指征[3-4]。因此，本文通过纳入72例到我院接受气管切开术治疗的重症颅脑损伤昏迷患者作为研究对象展开研究，旨在深入分析综合护理对重症颅脑损伤昏迷患者的应用效果。现做出如下报告。