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目的:探讨延续性护理措施在神经外科的应用效果。方法:选择2014年在浙江省义乌市中心医院神经外科进行治疗的200例患者为研究对象,采用随机抽样的方法将其分为对照组和干预组,每组100例患者。对照组按常规程序对神经外科患者进行护理工作,即护士根据医嘱实行常规护理,出院时进行健康宣教;干预组在对照组基础上辅以延续性护理措施,对患者进行护理工作。比较两组患者出院后半年的Barthel指数评分,并比较患者的护理满意度情况。结果:干预组和对照组患者出院后半年的Barthel指数评分有显著性差异,P<0.01,干预组高于对照组;患者的护理满意度也有显著性差异,P<0.01,干预组高于对照组。结论:实行延续性护理措施后,神经外科患者护理过程中的护理缺陷显著减少,患者的Barthel指数评分显著提高,患者的日常生活能力明显改善,说明延续性护理措施是神经外科患者的一项有效护理方法。
Objective: To investigate the effect of continuous nursing intervention in neurosurgery. Methods: A total of 200 patients were enrolled in Department of Neurosurgery, Central Hospital of Yiwu, Zhejiang Province in 2014. The patients were divided into control group and intervention group with 100 patients in each group by random sampling method. According to the routine procedure, the control group performed nursing work on neurosurgical patients, that is, the nurses carried out routine nursing care according to doctor’s advice and carried out health education at discharge. The intervention group supplemented with the continuous nursing measures on the basis of the control group, nurses the patients. The Barthel index scores of the two groups were compared six months after discharge, and the patient’s satisfaction degree of nursing was compared. Results: The Barthel index scores of the intervention group and the control group were significantly different after six months’ discharge, P <0.01, the intervention group was higher than the control group; the nursing satisfaction of the patients was also significantly different, P <0.01, the intervention group was higher than the control group group. CONCLUSION: Nursing defects in neurosurgical patients decreased significantly after continuous nursing intervention. Patients ’Barthel index score increased significantly, and patients’ daily living ability improved significantly. This shows that continuous nursing measures are effective in neurosurgical patients Nursing methods.