3C检查表在颅脑外伤手术老年病人中的应用效果

doi:10.3969/j.issn.1003-9198.2021.10.023

摘要/Abstract

摘要： 目的观察3C检查表在颅脑外伤手术老年病人中的应用效果。方法选取2018年6月至2020年6月期间我院收治的82例颅脑外伤手术老年病人为研究对象,使用随机数字表将其分为观察组和对照组,每组各41例。观察组由责任护士使用结构化3C检查表记录病情,对照组则使用传统表格记录病情。2组均收集200次责任护士的记录情况,比较护士对2组病人病情的掌握情况。记录并比较2组病人术后14 d并发症的发生情况及格拉斯哥昏迷指数(GCS)评分。于病人出院前1 d,调查其对护理的满意度。结果责任护士对观察组病人伤口引流情况、感觉运动功能、饮食情况、突发病情变化、高危风险预警的掌握率及总体掌握率均优于对照组(P＜0.05)。观察组24例病人(58.54％)为恢复良好和轻度残疾,对照组10例病人(24.39％)为恢复良好和轻度残疾,2组比较,差异具有统计学意义(Z=17.829,P＜0.001),且观察组术后并发症总发生率也显著低于对照组(P＜0.01)。观察组病人或家属对护理的总满意度显著高于对照组(P＜0.01)。结论使用3C检查表记录老年颅脑外伤手术病人病情,可以减少病人术后并发症并改善其预后,同时也可以提高责任护士对病人病情的掌握程度及病人对护理工作的满意度。

关键词: 颅脑外伤, 手术, 老年人, 3C检查表, 满意度

Abstract: Objective To observe the application effect of 3C checklist in the elderly patients with craniocerebral trauma receiving operation. Methods A total of 82 elderly patients undergoing craniocerebral trauma surgery in our hospital from June 2018 to June 2020 were selected and divided into observation group and control group according to random number table, with 41 cases in each group. The illness state in the observation group was recorded with structured 3C checklist, while the illness state in the control group was recorded with traditional form. A total of 200 nursing records were collected from each group, and the nurses’ mastery of the patients’ condition was compared between the two groups. The occurrence of postoperative complications and the score of Glasgow Coma Scale at 14 days after surgery were recorded and compared between the two groups. The patients’ satisfaction with nursing was investigated 1 day before discharge. Results There were significant differences in nurses’ overall mastery rate and the mastery rates of wound drainage, sensorimotor function, diet, the illness state sudden change, and high-risk warning between the two groups (P<0.05). Twenty-four patients (58.54%) in the observation group had good recovery and mild disability, while 10 patients in the control group (24.39%) had good recovery and mild disability, and the difference was statistically significant between the two groups (Z=17.829, P<0.001). The total incidence rate of postoperative complications in the observation group was lower than that in the control group (P<0.01). The total satisfaction of the elderly patients or their families in the observation group was higher than that in the control group (P<0.01). Conclusions Using 3C checklist to record the condition of the patients undergoing craniocerebral trauma surgery can reduce the postoperative complications and improve the prognosis. At the same time, it can also improve the primary nurses’ mastery of patients’ condition and patients’ satisfaction with nursing work.

Key words: craniocerebral trauma, surgery, aged, 3C checklist, satisfaction

中图分类号:

R 473.6

陈慧, 吴梅, 童孜蓉, 赵倩, 吴娟, 邵正群, 毕立清, 赵琳. 3C检查表在颅脑外伤手术老年病人中的应用效果[J]. 实用老年医学, 2021, 35(10): 1092-1096.

CHEN Hui, WU Mei, TONG Zi-rong, ZHA0 Qian, WU Juan, SHAO Zheng-qun, BI Li-qing, ZHAO Lin. Application of 3C checklist in elderly patients with craniocerebral trauma receiving operation[J]. Practical Geriatrics, 2021, 35(10): 1092-1096.

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