漯河市中心医院神经外一科
Published:2021,
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Wang Huibing. Effects of 6S management model in care of patients with craniocerebral injury. [J]. Health Medicine Research and Practice 18(5):142-146(2021)
目的探讨6S管理模式在颅脑损伤患者护理中的应用效果。方法选取2019年1月-2020年1月在河南省某医院采用手术治疗的120例颅脑损伤患者作为研究对象。采用随机数字表法
将患者分为观察组与对照组
每组60例。对照组患者采用常规护理干预
观察组患者在对照组基础上采用6S管理模式。比较2组患者干预第2、4、6天的排痰量及干预第6天时的痰液黏稠程度;出院时比较2组患者美国国立卫生院神经功能缺损(NIHSS)评分;比较2组患者出院时并发症发生情况及护理满意度。结果干预第2、4、6天时
观察组患者排痰量均多于对照组
差异均有统计学意义(P<0.05)。观察组患者痰液黏稠度为0级、Ⅰ级人数所占比例高于对照组
痰液黏稠度为Ⅱ级、Ⅲ级人数所占比例低于对照组
差异均有统计学意义(P<0.05)。干预前
2组患者NIHSS评分比较
差异无统计学意义(P>0.05)。出院时
2组患者NIHSS评分均低于干预前
且观察组低于对照组
差异均有统计学意义(P<0.05)。观察组患者并发症发生率为6.64%
低于对照组的24.99%
差异有统计学意义(P<0.05)。观察组患者护理满意度调查表中治疗护理、医患沟通、患者信任、医疗费用、总体满意评分均高于对照组
差异均有统计学意义(P<0.05)。2组患者护理满意度调查表中入院服务、环境设施及医疗膳食评分比较
差异无统计学意义(P>0.05)。结论 6S管理模式应用于颅脑损伤患者护理中
可促进患者排痰
减轻痰液黏稠度
降低NIHSS评分及并发症发生率
被患者高度认可
值得临床推广应用。
Objective To explore the effects of 6S management mode in the care of patients with craniocerebral injury. Methods One hundred and twenty patients with craniocerebral injury who were treated in a hospital in Henan Province from January 2019 to January 2020 were selected as the study subjects. The random number ta-ble method was used to divide the patients into observation group and control group
with 60 cases in each group. Patients in the control group received conventional nursing intervention
and the 6S management mode was used for the observation group based on the control group. The sputum volume on days 2
4 and 6 and sputum viscosi-ty on day 6 of the intervention were compared between the 2 groups; the National Institutes of Health stroke scale(NIHSS) scores were compared between the 2 groups at discharge; the occurrence of complications and nursing satisfaction at discharge were compared between the 2 groups. Results On days 2
4 and 6 of the inter-vention
patients in the observation group had higher sputum volume than those in the control group
and the differences were all statistically significant(P<0.05). The proportion of patients in the observation group with sputum viscosity grade 0 and grade I was higher than that in the control group
and the proportion of patients with sputum viscosity grade II and grade III was lower than that in the control group
and the differences were statistically significant(P<0.05). Before the intervention
there was no statistically significant difference between the NIHSS scores of patients in the 2 groups(P>0.05). At the time of discharge
the NIHSS scores of patients in both groups were lower than those before the intervention
with those in the observation group lower than those in the control group
and the differences were statistically significant(P<0.05). The complication rate of patients in the observation group was 6.64%
which was lower than 24.99% in the control group
and the difference was statistically significant(P<0.05). The patient care satisfaction questionnaire in the observation group showed higher scores for treatment care
doctor-patient communication
patient trust
medical cost
and overall satisfaction than that in the control group
and the differences were statistically significant(P <0.05). There was no statistically significant difference in the scores for admission service
environmental facilities
and medical meals in the patient care satisfaction questionnaire between the 2 groups(P>0.05). Conclusion When applied to care for patients with craniocerebral injury
the 6S management model can promote sputum ex-cretion
reduce sputum viscosity
and lower NIHSS scores and complication rates. It would be highly recognized by patients and is worthy of clinical promotion and application.
颅脑损伤6S管理模式护理NIHSS评分手术治疗
Craniocerebral injury6S management modelCareNIHSS scoreSurgical treatment
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