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早期综合康复护理对重症多发伤患者预后的影响

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目的:探讨早期综合康复护理方案在重症多发伤患者中的应用价值,重点讨论其对患者预后的影响。方法:选取 2021年 1月—2024年 3月赣县人民医院收治的 64例重症多发伤患者为研究对象,按随机数字表法将其分为对照组和观察组,各 32例。对照组采用常规康复护理方案,观察组采用早期综合康复护理方案。两组均持续干预…,比较两组时间指标、肌力与生活能力、不良事件发生情况及护理满意度。结果:两组乳酸恢复时间、凝血功能指标恢复时间比较,差异均无统计学意义(P>0。05);观察组ICU停留时间与总住院时间均短于对照组,差异均有统计学意义(P<0。05)。干预后,观察组英国医学研究理事会肌力、Barthel指数评分均大于对照组,差异均有统计学意义(P<0。05)。观察组不良事件的总发生率为 3。13%,低于对照组的 28。13%,差异有统计学意义(P<0。05)。观察组护理满意度为 93。75%,高于对照组的 68。75%,差异有统计学意义(P<0。05)。结论:在重症多发伤患者护理期间,早期综合康复护理方案具有较好的应用效果,能够缩短患者ICU停留与住院时间,改善其肌力与生活能力,降低不良事件的发生率,患者对其具有更高的护理满意度。
Effect of Early Integrated Rehabilitation Nursing on the Prognosis of Patients with Severe Multiple Injuries
Objective:To investigate the application value of early comprehensive rehabilitation nursing in patients with severe multiple injuries,and to discuss its influence on the prognosis of patients.Methods:A total of 64 patients with severe multiple injuries admitted to Gan County People's Hospital from January 2021 to March 2024 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 32 cases in each group.The control group adopted the routine rehabilitation nursing plan,and the observation group adopted the early comprehensive rehabilitation nursing plan.Both groups continued to intervene...Time index,muscle strength and life ability,adverse event occurrence and nursing satisfaction were compared between the two groups.Results:There were no significant differences in lactic acid recovery time and coagulation function index recovery time between the two groups(P>0.05).The ICU stay time and total hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,MRC and BI scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was 3.13%,which was lower than 28.13%in the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 93.75%,which was higher than 68.75%of the control group,the difference was statistically significant(P<0.05).Conclusion:During the nursing of patients with severe multiple injuries,the early comprehensive rehabilitation nursing program has good application effect,which can shorten the ICU stay and hospitalization time of patients,improve their muscle strength and life ability,reduce the incidence of adverse events,and patients have higher nursing satisfaction.

Severe multiple injuryEarly comprehensive rehabilitation nursingMuscle strengthLiving ability

金玉梅

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江西省赣县人民医院综合重症监护室,江西 赣州 341000

重症多发伤 早期综合康复护理 肌力 生活能力

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)