摘要
目的 探讨综合康复护理在重型颅脑损伤长期昏迷患者催醒治疗过程中的价值。方法 研究样本均源自本医院，选择时间为2023年3月-2024年3月，共计86例重型颅脑损伤长期昏迷患者需要接受催醒治疗。按照患者入院时间进行平均分组，即2023年3月-2023年8月期间对照组纳入的43例患者接受常规催醒治疗，2023年9月-2024年3月期间观察组纳入的43例患者采用综合康复护理模式，以此比较两组患者在不同治疗方式下的CRS-R评分、不良事件发生率及依从率。结果 观察组患者的CRS-R评分高于对照组评分（P＜0.05）；观察组的不良事件发生率低于对照组的不良事件发生率（P＜0.05）；观察组的治疗依从性显著高于对照组（P＜0.05）。结论 采用综合康复护理在重型颅脑损伤长期昏迷患者催醒治疗过程中能够起到重要作用，帮助患者增强各方面意识，降低不良事件发生率，提高患者治疗依从率，值得临床推广应用。
关键词： 综合康复护理；重型颅脑损伤；长期昏迷；催醒治疗；对照研究
Abstract
Objective To explore the value of comprehensive rehabilitation nursing in the awakening treatment process of long-term comatose patients with severe traumatic brain injury. Methods The research samples were all sourced from our hospital and selected from March 2023 to March 2024. A total of 86 patients with severe traumatic brain injury who were in a long-term coma required awakening treatment. According to the average admission time of patients, 43 patients in the control group received routine awakening treatment from March 2023 to August 2023, and 43 patients in the observation group received comprehensive rehabilitation nursing mode from September 2023 to March 2024. The CRS-R scores, incidence of adverse events, and compliance rates of the two groups of patients under different treatment methods were compared. Results The CRS-R score of the observation group patients was higher than that of the control group (P<0.05); The incidence of adverse events in the observation group was lower than that in the control group (P<0.05); The treatment compliance of the observation group was significantly higher than that of the control group (P<0.05). Conclusion The use of comprehensive rehabilitation nursing can play an important role in the awakening treatment process of long-term comatose patients with severe traumatic brain injury, helping patients enhance their awareness in all aspects, reduce the incidence of adverse events, and improve their treatment compliance rate. It is worthy of clinical promotion and application.
Key words： Comprehensive rehabilitation nursing; Severe traumatic brain injury; Long term coma; Awakening treatment; Comparative study
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