分组护理在颅脑手术患者护理中的临床效果

郑莉

（黄陵县人民医院，陕西 延安，727300）

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摘要：

目的 观察分组护理在颅脑手术患者护理中的临床应用效果。方法 将90例颅脑外伤患者随机分为对照组和观察组， 每组45例。两组患者根据病情均行颅内血肿、病灶清除，双侧开瓣减压术治疗。术后，给予对照组患者常规护理，给予观察组患者分组护理，比较两组患者的手术情况、护理质量及护理服务满意度。结果 观察组静脉通路建立时间、手术准备时间均显 著短于对照组（P<0.05）；护理后，观察组病房管理、专科护理、基础护理、危重护理、消毒隔离、护理文书护理质量评分显著优于对照组（P<0.05）；观察组的护理服务满意度为100.0%，显著高于对照组的84.4%（P<0.05）。结论 对颅脑手术患者实施分组护理，可有效提高手术准备效率，缩短建立静脉通道时间，改善护理服务质量，提高护理服务满意度，值得临床推广应用。

关键词：分组护理；颅脑手术；双侧开瓣减压术；颅内血肿

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)07-0176-02

Clinical effect of group nursing in patients with craniocerebral surgery
ZHENG Li
(People's Hospital of Huangling County, Yan'an 727300, China)

ABSTRACT: Objective To observe the clinical effect of group nursing in patients with craniocerebral surgery. Methods Ninety cases of patients with craniocerebral trauma were selected and randomly divided into control group and observation group, with 45 cases in each group. The patients in the two groups were treated with intracranial hematoma, debridement and bilateral decompressive craniectomy according to the condition. After operation, the patients in control group were given routine nursing, while the patients in observation group were given nursing care. The operation condition, nursing quality and nursing service satisfaction were compared of the patients in the two groups. Results The vein circuit settling time and surgical preparation time of the patients in observation group were significantly shorter than those of the patients in control group (P<0.05). After nursing, the ward management, specialist nursing, basic nursing, critical care, disinfection and isolation, nursing care quality scores of the patients in observation group were significantly better than those of the patients in control group (P <0.05). The nursing service satisfaction of the patients in observation group was 100.0%, which was significantly higher than that of the patients in control group which was 84.4% (P <0.05). Conclusion The
implementation of group nursing for patients with craniocerebral operation can effectively improve the efficiency of the preparation of the operation, shortening the time of establishing the venous channel, improve the quality of nursing service and improve the satisfaction of nursing service, which is worthy of clinical application.
KEYWORDS: group nursing; brain surgery; bilateral decompressive craniectomy; intracranial hematoma

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