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呼唤护理对重型颅脑损伤迁延性昏迷患者预后的影响

Influence of efficient communication on severe craniocerebral injury patients with persistent coma

摘要目的 探讨呼唤护理对重型颅脑损伤迁延性昏迷患者预后的影响.方法 将66例重型颅脑损伤迁延性昏迷患者随机分为干预组34例和对照组32例.对照组采用神经外科综合治疗常规护理方法 ,干预组在此基础上增加系统、有效的呼唤护理.观察患者住院各个阶段GCS评分和昏迷恢复情况以及住院天数.结果 干预组住院1个月时GCS评分、昏迷恢复情况明显优于对照组;2个月时清醒率明显高于对照组;出院时意识恢复情况明显优于对照组,住院大数明显少于对照组.结论 呼唤护理对促进重型颅脑损伤迁延性昏迷患者的恢复、改善其预后有积极的影响.

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abstractsObjective To explore the influence of efficient communicational humanistic nursing care on severe craniocerebral injury patients with persistent coma.Methods A total of 66 severe craniocerebral injury patients with persistent coma were divided into the two groups,both were received the same treatment and same nursing routine care,in addition,treatment group(34casos)were received an efficient communicational humanistic nursing care additional. GCS score in different stages,coma recovery and hospitalized days of patients were observed.Results The scores of GCS and coma recovery in treatment group showed better than that in control group after i month hospitalization,the sober time were also higher after 2 month hospitalization,and consciousness recovery showed better when the patients were discharged the hospital, while the hospitalization days were shorter than control group(P < 0.05).Conclusions Communicational humanistic nursing care can obviously improve the prognosis of severe craniocerebral injury patients with persistent coma.

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