重型颅脑损伤患者延续护理方案的建立和评价

发布时间：2018-01-01 17:41

本文关键词：重型颅脑损伤患者延续护理方案的建立和评价　出处：《当代护士(下旬刊)》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨重型颅脑损伤的偏瘫患者在出院3个月内延续护理方案的建立和评价。方法以奥马哈系统理论为框架,对46例重型颅脑损伤的偏瘫患者,采用延续护理的方式从出院前3 d至出院后3个月进行5次访视。从评估陈述问题、确认健康问题、护理计划与执行、护理过程评估和评价结果几个方面来实施。结果经评估生理领域的主要问题有神经-肌肉-骨骼功能、疼痛、皮肤、排尿和排便等问题;社会心理领域主要护理问题有社交、心理健康等问题;健康相关行为领域主要问题有身体活动、睡眠与休息、自我照顾等问题;环境领域的主要问题有知识的掌握等问题。干预前后患者的认知、行为、状况差异具有统计学意义(P0.05)。结论应用奥马哈系统理论评估重型颅脑损伤偏瘫患者存在的健康问题,有利于访视护士明确患者的问题及干预方向,提高患者的护理结局,重建患者的生理、心理和社会适应能力。
[Abstract]:Objective to explore the establishment and evaluation of nursing program for hemiplegic patients with severe craniocerebral injury within 3 months after discharge. Methods 46 cases of hemiplegic patients with severe craniocerebral injury were treated with Omaha system theory as the framework. From the first 3 days of discharge to 3 months after discharge, 5 visits were conducted. From evaluation, statement of problems, confirmation of health problems, nursing plan and implementation. Results the main problems in physiological field were neuromusculoskeletal function, pain, skin, urination and defecation. The main nursing problems in the field of social psychology are social, mental health and so on. The main problems in the field of health-related behavior include physical activity, sleep and rest, self-care and so on. The main problems in the field of environment include knowledge acquisition, cognition and behavior of patients before and after intervention. Conclusion the Omaha system theory can be used to evaluate the health problems of patients with severe craniocerebral injury hemiplegia. Improve the outcome of nursing care, rebuild the patient's physiological, psychological and social adaptability.
【作者单位】：江苏省徐州市第一人民医院;
【分类号】：R473.6
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