Intervention analysis of rehabilitation nursing on patients with traumatic brain injury
康复护理对创伤性颅脑损伤患者的干预分析

摘要

目的 分析康复护理对创伤性颅脑损伤患者的干预效果。方法 纳入 2021 年 7 月-2022 年 7 月 我院 150 例创伤性颅脑损伤患者，依照数字随机的原则均分为观察组与对照组，对照组实施常规护理，观 察组以常规护理为基础联合康复护理，比较组间认知功能与肢体运动功能、生活质量评分、神经功能分级 情况。结果 认知功能与肢体运动功能评价量表包括：MMSE、MQ、Fugl-Meyer，上述量表分值分析，护理 前组间无差异（P＞0.05），护理后，观察组各项数值均高于对照组，统计学差异成立（P＜0.05）；生活质 量评价量表为：SF-36，量表分值分析，护理前组间无差异（P＞0.05），护理后，观察组各项数值均高于对 照组，统计学差异成立（P＜0.05）；神经功能恢复情况分级包括：显著恢复、基本恢复、未恢复，以此， 观察组患者的恢复率（93.33%，70 例）显著高于对照组（80.00%，60 例），统计学差异成立（P＜0.05）。 结论 针对创伤性颅脑损伤患者，以保证常规护理为基础，落实有效的康复护理，有助于积极改善患者的认 知功能与肢体功能，提升患者的神经功能恢复分级，同时提高患者的生活质量，值得推广。

Abstract

Objective To analyze the intervention effect of rehabilitation nursing on patients with traumatic brain injury.
Methods 150 patients with traumatic brain injury in our hospital from July 2021 to July 2022 were enrolled. They were randomly divided into the observation group and the control group according to the principle of number randomization. The control group was given routine nursing care. The observation group was given rehabilitation nursing based on routine nursing care. The cognitive function, limb motor function, quality of life scores, and neurological function ratings were compared among the groups.
Results The cognitive function and limb motor function evaluation scale included MMSE, MQ, Fugl Meyer. The score analysis of the above scale showed that there was no difference between the groups before nursing (P>0.05). After nursing, the values in the observation group were higher than those in the control group, and the statistical difference was established (P<0.05); The quality of life evaluation scale was SF-36. The score analysis of the scale showed that there was no difference between the groups before nursing (P>0.05). After nursing, the values in the observation group were higher than those in the control group, and the statistical difference was established (P<0.05); The classification of neurological function recovery included significant recovery, basic recovery and no recovery. Therefore, the recovery rate of patients in the observation group (93.33%, 70 cases) was significantly higher than that in the control group (80.00%, 60 cases), and the statistical difference was established （P<0.05).
Conclusion   For patients with traumatic brain injury, the implementation of effective rehabilitation nursing based on the guarantee of routine nursing is helpful to actively improve the cognitive function and limb function of patients, improve the neurological function recovery classification of patients, and improve the quality of life of patients, which is worth promoting.