目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响.方法:选择 2020 年 9 月—2023 年 9 月在连云港市中医院接受颅脑外伤急救治疗的 102 例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,各 51 例.对照组接受常规急救护理,观察组在对照组基础上接受危机理论指导下的创伤急救护理.比较两组急救时间(有效抢救时间、确诊时间和急诊至手术时间)、神经功能[美国国立卫生研究院脑卒中量表(National Institutes of Health stroke scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow coma scale,GCS)]、生命体征(呼吸频率、心率、收缩压和舒张压)及并发症(缺血性痉挛、电解质紊乱和肢体功能障碍)发生情况.结果:观察组有效抢救时间、确诊时间、急诊至手术时间短于对照组,差异有统计学意义(P＜0.05);观察组护理后NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P＜0.05);观察组护理后呼吸频率、心率、收缩压、舒张压低于对照组,差异有统计学意义(P＜0.05);观察组并发症发生率低于对照组,差异有统计学意义(P＜0.05).结论:危机理论指导下的创伤急救护理可有效缩短颅脑外伤患者急救时间,改善神经功能和生命体征,降低并发症发生率.
Impact of Crisis Theory-guided Trauma Emergency Nursing and Its Impact on Emergency Response Time,Neurological Function and Vital Signs of Patients with Traumatic Brain Injury
Objective:To explore the impact of crisis theory-guided trauma emergency nursing on the emergency response time,neurological function and vital signs of patients with traumatic brain injury.Method:A total of 102 patients who received emergency treatment of traumatic brain injury in Lianyungang Traditional Chinese Medicine Hospital from September 2020 to September 2023 were selected as the research objects,the patients were divided into control group and observation group according to the random number table method,with 51 cases in each group.The control group was given conventional emergency nursing,while the observation group was given crisis theory-guided trauma emergency nursing on the basis of the control group.The emergency response time(effective rescue time,diagnosis time,and emergency-to-surgery time),neurological functions[National Institutes of Health stroke scale(NIHSS)score and Glasgow coma scale(GCS)],vital signs(respiratory rate,heart rate,systolic blood pressure and diastolic blood pressure),and the incidence of complications(ischemic spasms,electrolyte disorders,and limb function disorders)were compared between two groups.Result:The effective rescue time,diagnosis time and emergency-to-surgery time in the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).The NIHSS score of the observation group after nursing was lower higher than that of the control group,and the GCS score was higher than that of the control group,and the differences were statistically significant(P＜0.05).The respiratory rate,heart rate,systolic blood pressure and diastolic blood pressure in the observation group after nursing were lower than those in the control group,and the differences were statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion:Crisis theory-guided trauma emergency nursing can effectively shorten the first aid time of patients with craniocerebral trauma,improve neurological function and vital signs,and reduce the incidence of complications.
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