首页|多感官促醒护理模式对意识障碍患者促醒作用和神经功能的影响研究

多感官促醒护理模式对意识障碍患者促醒作用和神经功能的影响研究

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目的 探讨多感官促醒护理模式对意识障碍患者的促醒作用和对神经功能的影响。方法 选取2019年1月至2021年12月首都医科大学宣武医院收治的78例意识障碍患者为研究对象,采用随机数字表法分为对照组和观察组,每组39例。对照组给予常规护理干预,观察组在对照组的基础上给予多感官促醒护理模式干预。两组患者均连续干预8周。比较分析两组患者的意识恢复相关指标,干预4周后的促醒疗效,干预前及干预2、4、8周后的意识障碍严重程度[格拉斯哥昏迷量表(GCS)评分]及神经功能[功能障碍评分量表(DFS)评分]。结果 观察组患者的自主活动恢复时间、刺激反射恢复时间及苏醒时间均短于对照组,差异有统计学意义(P<0。05)。干预4周后,观察组患者的促醒总有效率高于对照组,差异有统计学意义(P<0。05)。干预前两组患者的GCS评分、DFS评分比较差异无统计学意义(P>0。05);干预2、4、8周后,观察组患者的GCS评分均高于对照组,DFS评分均低于对照组,差异有统计学意义(P<0。05)。结论 多感官促醒护理模式可有效促进意识障碍患者的意识恢复与苏醒,改善患者的神经功能。
Research on the influence of multisensory arousal nursing model on the arousal effect and neural function of patients with consciousness disorders
Objective To explore the influence of multisensory arousal nursing model on the arousal effect and neural function of patients with consciousness disorders. Method A total of 78 patients with consciousness disorders admitted to Xuanwu Hospital Capital Medical University from January 2019 to December 2021 were selected as the study objects,and they were divided into control group and observation group by random number table method,with 39 cases in each group. The control group was given routine nursing intervention,and the observation group was given multisensory arousal nursing model intervention on the basis of the control group. Both groups were intervented for 8 weeks. The indexes related to consciousness recovery and the arousal effect after 4 weeks of intervention were compared between the two groups. The severity of consciousness disorders(GCS score) and neural function(DFS score) before intervention and 2,4 and 8 weeks after intervention were compared between the two groups. Result The recovery time of autonomous activity,stimulatory reflex and awakening time of patients in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05). After 4 weeks of intervention,the total rate of arousal effect in observation group was higher than that in control group,and the difference was statistically significant(P<0.05). Before intervention,there were no significant differences in GCS scores and DFS scores between the two groups(P>0.05). After 2,4 and 8 weeks of intervention,GCS scores in observation group were higher than those in control group,and DFS scores were lower than those in control group,with statistical significance(P<0.05). Conclusion Multisensory arousal nursing model can effectively promote the recovery of consciousness and awakening of patients with consciousness disorders,and improve the neural function.

Multisensory arousal nursing modelConsciousness disordersArousal effectNeural function

李巍、王亮、徐晨光、何莉、李晶晶、宋为群、张晔

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首都医科大学宣武医院康复医学科,北京 100053

多感官促醒护理模式 意识障碍 促醒作用 神经功能

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(12)