[1]田静,宋明阳,汪秋伊,等.基于循证的康复护理干预对住院颅脑创伤患者自理能力的改善效果[J].军事护理,2023,40(05):70-74.[doi:10.3969/j.issn.2097-1826.2023.05.017]
　TIAN Jing,SONG Mingyang,WANG Qiuyi,et al.Effectiveness of An Evidence-Based Rehabilitation Nursing Care Program on Self-Care Ability among Inpatients with Traumatic Brain Injury[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(05):70-74.[doi:10.3969/j.issn.2097-1826.2023.05.017]
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基于循证的康复护理干预对住院颅脑创伤患者自理能力的改善效果
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年05期
页码:
70-74
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Effectiveness of An Evidence-Based Rehabilitation Nursing Care Program on Self-Care Ability among Inpatients with Traumatic Brain Injury
文章编号:
2097-1826(2023)05-0070-05
作者:
田静1; 2; 宋明阳1; 3; 汪秋伊1; 刘婧1; 张薇1; 陈雪梅1; 周兰姝1
(1.海军军医大学 护理系,上海 200433; 2.解放军联勤保障部队第九二四医院 干部病房,广西 桂林 541002; 3.解放军联勤保障部队第九六〇医院 护理部,山东 济南 250031)
Author(s):
TIAN Jing1; 2; SONG Mingyang1; 3; WANG Qiuyi1; LIU Jing1; ZHANG Wei1; CHEN Xuemei1; ZHOU Lanshu1
(1.School of Nursing,Naval Medical University,Shanghai 200433,China; 2.Department of Geriatrics,No.924 Hospital of PLA Joint Logistics Support Force,Guilin 541002,Guangxi Zhuang Autonomous Region,China; 3.Department of Nursing,No.960 Hospital of PLA Joint Logistics Support Force,Jinan 250031,Shandong Province,China)
关键词:
颅脑创伤;  肢体功能障碍;  康复护理;  自理能力
Keywords:
traumatic brain injury;  limb dysfunction;  rehabilitation nursing;  self-care ability
分类号:
R473; R823
DOI:
10.3969/j.issn.2097-1826.2023.05.017
文献标志码:
A
摘要:
目的 验证基于循证的颅脑创伤患者肢体功能障碍康复护理干预对住院患者自理能力的改善效果。方法 选取桂林市和济南市两所三级甲等医院的180名颅脑创伤患者为研究对象,按照阶梯整群随机试验设计,干预措施在3个时间段内依次推广到两所医院的神经外科,第1阶段两所医院都不进入阶梯,仍按照常规护理干预方法进行干预,主要包括常规的宣教和护理,第2阶段,其中一所医院进入,开始应用本研究的干预方案,第3阶段,另一所医院进入,干预组采用循证康复护理干预,比较两组患者的自理能力。结果 使用广义线性混合模型进行多因素分析,修正后的模型有统计学意义(F=25.286,P<0.001)。两组患者的生活自理能力得分比较,差异在干预前无统计学意义(P>0.05),在干预后有统计学意义(P<0.01),且干预后干预组得分高于对照组(P<0.05)。结论 本研究证明了基于循证的颅脑创伤患者住院期间的康复护理方案对患者自理能力改善的有效性,证明了康复护理对颅脑创伤患者的意义。
Abstract:
Objective To verify the effectiveness of the evidence-based rehabilitation nursing care program for limb dysfunction of traumatic brain injury(TBI)patients on the self-care ability of those inpatients.Methods A total of 180 TBI patients were selected from two tertiary hospitals in Guilin and Jinan City.The design of stepped wedge cluster randomized trial was adopted.Intervention measures were successively promoted to the Department of Neurosurgery in the two hospitals over three periods.In the first period,the two hospitals did not enter the step,and conventional nursing interventions were carried out,mainly including routine education and nursing.In the second period,one hospital entered and the evidence-based intervention was performed.In the third period,the other hospital entered,and the evidence-based rehabilitation nursing care program was carried out in the intervention group.The self-care ability of patients in the two groups were compared.Results The generalized linear mixture model was used for multivariate analysis.The modified model was statistically significant(F=25.286,P<0.001).The difference in the score of self-care ability between the two groups before intervention was not statistically significant(P>0.05),but the difference after intervention was statistically significant(P<0.01).The score of the intervention group was higher than that of the control group after intervention(P<0.05).Conclusions This study proves the effectiveness of the evidence-based rehabilitation nursing care program for TBI inpatients on improving their self-care ability,as well as the significance of rehabilitation nursing on TBI patients.

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备注/Memo

备注/Memo:
【 收稿日期 】2023-03-03 【 修回日期 】2023-04-11
【 基金项目 】军队护理创新与培育专项(2021HL021)
【 作者简介 】田静,硕士在读,主管护师,电话:0773-2081684
【 通信作者 】周兰姝,电话:021-81871511
更新日期/Last Update: 2023-05-15