邹有香+谢丽娟+罗玉兰

[摘要]目的 研究并分析预见性护理措施对颅脑缺损伴脑积水同期手术患者进行护理时的干预效果和价值。方法 选取我院2015年1月～2017年1月收治的颅骨缺损伴脑积水行同期手术的108例患者作为研究对象，随机将其分为观察组和对照组，每组各54例患者。所有患者均采用手术方式进行治疗，对照组患者配合常规干预，观察组患者配合预见性护理干预。比较两组患者的平均住院时间、住院费用、满意度及术中并发症情况。结果 本研究当中不存在患者死亡，经过治疗后，所有患者均顺利出院。观察组的平均住院时间短于对照组，住院费用低于对照组，患者满意度高于对照组，术中并发症发生率（5.56%）低于对照组（22.22%），差异均有统计学意义（P<0.05）。结论 对颅骨缺损伴脑积水同期手术治疗的患者，采用预见性护理干预措施进行干预指导能够有效地改善患者的临床症状，提高患者的预后，值得推广使用。

[关键词]预见性护理；颅骨缺损伴脑积水；同期手术护理

[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-4721（2017）08（c）-0164-03

[Abstract]Objective To study and analyze the intervention effect and value of predictive nursing measures in the concurrent operational nursing of craniocerebral defect with hydrocephalus.Methods From January 2015 to January 2017，108 cases patients with craniocerebral defect combined with hydrocephalus operated concurrently in our hospital were selected as research objects.They were randomly divided into observation group and control group，with 54 patients in each group.All patients were treated with surgical treatment，and the control group was given routine intervention，while the observation group was coordinated with the predictive nursing intervention.The average hospital stay，hospitalization cost，satisfaction and intraoperative complications were compared between the two groups.Results There was no death case occurred in this study.Aftert herapy，patients were successfully discharged from the hospital.The average hospital stay of patients in observation group was shorter than the control group，hospitalization cost was lower than the control group，satisfaction was higher than the control group，the intraoperative complications of patients in observation group （5.56%） was lower than that in the control group （22.22%），the differences were statistical significance （P<0.05）.Conclusion For patients with craniocerebral defect and hydrocephalus operated concurrently，application of predictive nursing measures as an intervention guidance can effectively improve patients′ clinical symptoms as well as prognosis，which is worthy of promotion.

[Key words]Predictive nursing；Craniocerebral defect combined with hydrocephalus；Concurrent operational nursing

預见性护理是护理人员通过应用护理程序，对患者进行全面综合的分析和判断，提前预知所存在的护理风险，进而采取及时有效的护理措施，从而尽量避免并发症的发生，提高护理的质量和满意度。颅脑损伤在神经外科是较为常见的一种疾病，在临床诊断和治疗过程当中，一般采用去骨瓣减压术进行治疗[1]，颅骨缺损伴脑积水是颅脑损伤行去骨瓣减压术治疗后的常见后遗症，它会导致患者的病情迅速恶化，所以在临床的治疗过程中一般选择分期手术进行治疗[2]。一般在术后3～6个月后对患者进行颅骨修补术。……