基于胜任特征理论匹配护理对颅脑外伤术后患者的影响
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张咏梅,女,护师,主要从事神经外科相关工作。

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R 651.1+ 5

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河南省医学科技攻关计划项目(LHGJ20180196)


Effect of Matching Care Mode on Patients after Craniocerebral Trauma Based on Competent Characteristic Theory
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    摘要:

    摘 要目的:探讨基于胜任特征理论的匹配护理模式对颅脑外伤术后患者早期康复、神经功能及预后的影响。 方法:选取商丘市第一人民医院 2019 年 5 月至 2022 年 5 月期间收治的颅脑外伤术后患者 90 例为研究对象,随机数 表法分为对照组和观察组,各 45 例。对照组患者采用常规护理,观察组患者给予基于胜任特征理论的匹配护理模式, 比较两组患者干预后的早期康复、神经功能及预后情况。 结果:干预后,观察组患者格拉斯哥昏迷量表(GCS)评分 低于对照组,Barthel 指数评分高于对照组,差异具有统计学意义(P < 0.05);干预后,观察组患者神经功能评分 低于对照组,差异具有统计学意义(P < 0.05);观察组患者术后并发症发生率低于对照组,差异具有统计学意义 (P < 0.05)。 结论:基于胜任特征理论的匹配护理模式干预可促进颅脑外伤术后患者早期康复,有效提升患者神经 功能,降低术后并发症的发生,改善预后。

    Abstract:

    AbstractObjective To explore the effect of matching care mode based on competent characteristic theory on early rehabilitation, neurological function and prognosis of patients after craniocerebral trauma. Methods 90 patients with craniocerebral trauma treated in Shangqiu First People's Hospital from May 2019 to May 2022 were selected as the research objects, and were randomly divided into a control group and an observation group, with 45 cases in each group. Patients in the control group were given routine nursing, and patients in the observation group were given matching care mode based on competent characteristic theory. The early recovery, neurological function and prognosis of patients in the two groups were compared after intervention. Results After intervention, Glasgow coma scale (GCS) score of the observation group was lower than that of the control group, and Barthel index score was higher than that of the control group, the differences were statistically significant (P < 0.05). After intervention, neurological function score of the observation group was lower than that of the control group, and the difference was statistically significant (P < 0.05). The incidence of postoperative complications in the observation group was lower than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Matching care mode intervention based on competent characteristic theory can promote the early recovery of patients after craniocerebral trauma, effectively improve the neurological function of patients, reduce the occurrence of postoperative complications, and improve the prognosis.

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  • 收稿日期:2023-02-01
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  • 在线发布日期: 2023-07-10
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