首页|基于BIS监测的镇静护理干预在颅脑损伤患者中的应用效果

基于BIS监测的镇静护理干预在颅脑损伤患者中的应用效果

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目的 探讨实施基于脑电双频指数评估(BIS)的镇静护理对颅脑损伤患者预后的影响。方法 采用随机数字表法将2018年1月至2019年1月该院收治的46例颅脑损伤患者分为2组。对照组23例患者应用常规护理干预,研究组23例患者在对照组基础上实施基于BIS的镇静护理干预,观察比较2组患者镇静效果、干预后格拉斯哥昏迷评分法(GCS)评分及心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]。结果 研究组患者镇静合适占比较高,镇静效果较优,但与对照组比较,差异无统计学意义(Z=0。440,P=0。660);研究组患者干预后GCS评分低于对照组,差异有统计学意义(t=18。515,P<0。001);研究组患者干预后SDS、SAS评分均低于对照组,差异均有统计学意义(t=7。770、9。539,P<0。001)。结论 基于BIS的镇静护理可有效改善颅脑损伤患者预后,减轻患者消极情绪,促进患者康复。
Application effect of sedation nursing intervention based on BIS monitoring in patients with craniocerebral injury
Objective To investigate the impact of sedation nursing based on bispectral index(BIS)monitoring on the prognosis of patients with craniocerebral injury.Methods A total of 46 patients with craniocerebral injury admitted to this hospital between January 2018 and January 2019 were divided into two groups using a random number table.The control group(23 patients)received routine nursing intervention,while the study group(23 patients)received BIS-based sedation nursing intervention on the basis of the con-trol group.The sedation effect,Glasgow Coma Scale(GCS)scores after intervention,and psychological status[Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores]were observed and compared between the two groups.Results The study group had a higher proportion of appropriate sedation and a bet-ter sedation effect,but the difference was not statistically significant compared with the control group(Z=0.440,P=0.660).The GCS scores of the study group were lower than those of the control group after inter-vention,with a statistically significant difference(t=18.515,P<0.001).The SDS and SAS scores of the study group were lower than those of the control group after intervention,with statistically significant differ-ences(t=7.770,9.539,P<0.001).Conclusion BIS-based sedation nursing can effectively improve the prog-nosis of patients with craniocerebral injury,reduce their negative emotions,and promote their recovery.

Bispectral indexSedation nursingCraniocerebral injuryPrognosisGlasgow coma scaleDepressionAnxiety

吴雪梅、刘薇薇、徐莉

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南阳市第一人民医院西区医院,河南南阳 473000

脑电双频指数 镇静护理 颅脑损伤 预后 格拉斯哥评分 抑郁 焦虑

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(24)