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规范的宣教流程及宣教视频护理在神经外科健康宣教中的应用效果(1)
http://www.100md.com 2019年11月25日 《中国医学创新》 2019年第33期
     【摘要】 目的:探讨规范的宣教流程及宣教视频护理在神经外科健康宣教中的应用效果。方法:选取2018年7月-2019年4月本院神经外科收治的106例患者。依据随机数字表法分为对照组和观察组,每组53例。对照组给予常规护理,观察组在对照组基础上采取规范的宣教流程及宣教视频护理。对比两组适应性训练准确性、生活质量及并发症发生情况。结果:护理14 d后,两组生理职能、生理机能、精力、社会功能、一般健康、躯体疼痛、精神健康、情感职能评分均高于护理前,且观察组均高于对照组,差异均有统计学意义(P<0.05);观察组适应性训练准确性优于对照组(P<0.05);观察组术后并发症总发生率3.77%,低于对照组的16.98%(P<0.05)。结论:通过规范的宣教流程及视频宣教能够提升患者适应性训练准确性及生活质量,降低并发症发生率,利于预后,具有较高临床推荐价值。

    【关键词】 神经外科 宣教视频 适应性训练准确性 生活质量 并发症

    [Abstract] Objective: To explore the application effect of standardized propaganda process and video nursing in neurosurgery health propaganda. Method: A total of 106 patients admitted to neurosurgery Department of our hospital from July 2018 to April 2019 were divided into control group and observation group according to random number table method, 53 cases in each group. The control group was given routine nursing, and the observation group was given standardized propaganda process and video nursing on the basis of the control group. The adaptive training accuracy, quality of life and complications of the two groups were compared. Result: After 14 days of nursing, the scores of physiological function, physiological function, energy, social function, general health, physical pain, mental health and emotional function in the two groups were higher than those of before nursing, and the scores in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). The adaptive training accuracy in the observation group was better than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group was 3.77%, lower than 16.98% in the control group (P<0.05). Conclusion: The standardized propaganda process and video can improve the accuracy of adaptive training and quality of life of patients, reduce the incidence of complications, facilitate the prognosis, and have a high clinical value of recommendation.

    神经外科是外科学中的一个重要分支,是在以外科手术为主要治疗手段基础上综合应用神经科学的方法[1-2]。主要研究领域包括脑、脊髓等神经系统与颅脑损伤、肿瘤、炎症等疾病的关系,并在此研究基础上探寻新的诊断、预防、治疗方法。神经外科大部分患者是由外伤导致的脊髓神经及脑部疾病,患者出现认知缺失、意识障碍等症状较为常见,因此治疗及术后护理难度普遍高于其他科室,护理质量提升易受患者主观因素影响,导致护理效果不佳[3-4]。目前,临床主要通过加强心理及基础护理来提升神经外科护理质量,但效果不佳。相较于普通外科而言,神经外科患者情绪不稳定,难以接受常规宣教。基于此,本院在常规护理中增加规范的宣教流程及观看宣教视频护理,以期提升神经外科患者护理效果,降低并发症发生率。现报道如下。

    1 资料与方法

    1.1 一般资料 选取2018年7月-2019年4月本院神经外科收治的106例患者。(1)纳入标准:符合《临床诊疗指南-神经外科学分册》中相關疾病诊断标准[5]。(2)排除标准:合并先天发育不健全者;合并严重心、肝、肾功能损伤者;妊娠期及哺乳期患者。依据随机数字表法分为对照组和观察组,每组53例。患者均签署知情同意书,且本研究在经过本院伦理委员会同意后开展。, http://www.100md.com(肖世飞)
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