基于护理结局分类的护理模式在创伤性颅脑损伤患者中的应用效果OA
Application Effect of a Nursing Model Based on Nursing Outcomes Classification in Patients with Traumatic Craniocerebral Injury
目的 探讨基于护理结局分类(NOC)的护理模式在创伤性颅脑损伤患者中的应用效果.方法 采用前瞻性非随机法,选取 2023 年 2 月至 2025 年 10 月河南省人民医院收治的 99 例创伤性颅脑损伤患者,依照护理方案不同分为对照组(50 例,采用常规护理干预)和观察组(49 例,在对照组基础上实施基于 NOC 的护理模式).比较两组并发症发生率,以及干预前后认知功能[蒙特利尔认知评估量表(MoCA)]、运动功能[Fugl-Meyer运动功能测评法(FMA)]和心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分.结果 干预后,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);干预后,观察组 MoCA、FMA 评分高于对照组,SAS、SDS 评分低于对照组,差异均有统计学意义(P<0.05).结论 基于NOC的护理模式可改善创伤性颅脑损伤患者短期心理状态、运动功能和认知功能,并减少短期并发症发生.
Objective To investigate the application effect of a nursing model based on the Nursing Outcomes Classification(NOC)in patients with traumatic craniocerebral injury.Methods Using a prospective non-randomized method,99 patients with traumatic craniocerebral injury admitted to Henan Provincial People's Hospital from February 2023 to October 2025 were selected and divided into a control group(50 cases,receiving routine nursing intervention)and an observation group(49 cases,receiving the NOC-based nursing model in addition to the care provided to the control group)according to different nursing protocols.The incidence of complications,as well as cognitive function[Montreal Cognitive Assessment(MoCA)],motor function[Fugl-Meyer Assessment(FMA)],and psychological status[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)]scores before and after intervention were compared between the two groups.Results After intervention,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the MoCA and FMA scores in the observation group were higher than those in the control group,while the SAS and SDS scores were lower than those in the control group,with all differences being statistically significant(P<0.05).Conclusion The NOC-based nursing model can improve short-term psychological status,motor function,and cognitive function in patients with traumatic craniocerebral injury,and reduce the occurrence of short-term complications.
马慧慧;范晶丽;李翔;韩冰莎
河南省人民医院 神经外科重症与颅脑创伤科,河南 郑州 450000河南省人民医院 神经外科重症与颅脑创伤科,河南 郑州 450000河南省人民医院 神经外科重症与颅脑创伤科,河南 郑州 450000河南省人民医院 神经外科重症与颅脑创伤科,河南 郑州 450000
创伤性脑损伤护理结局分类认知功能运动功能并发症
traumatic brain injuryNursing Outcomes Classificationcognitive functionmotor functioncomplications
《临床研究》 2026 (4)
183-186,4
基于gEEG和TCD-Mx系统多模态监测脑卒中缺血再灌注损伤的早期预警及干预策略研究(SBGJ202402010).
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