Application of the procedural sedation protocol for patients with traumatic brain injury and related nursing management (颅脑损伤患者实施程序化镇静的效果及护理)

Abstract

Objective To investigate the application effect of the procedural sedation protocol for patients with traumatic brain injury, and summarized related nursing management. Methods Totally 64 patients with traumatic brain injury were randomly divided into the control and study group, with 32 cases in each group. Patient in the control group received conventional therapy for sedation, and those in the study group were given a procedural sedation protocol. The Glasgow Coma Scale (GCS), Sedation-agitation Scale(SAS), dosage of sedatives and length of hospital stays were measured and compared between two groups. Results There was no significant difference in the GCS and SAS scores between two groups before intervention(P＞0. 05). Patients in the study group had a higher score of GCS and lower score of SAS compared with those in the control group after intervention(P＜0. 01). Shorter length of hospital stay and lower dosage of sedatives were observed in the study group than those in the control group(P＜0. 01). Conclusion The procedural sedation protocol is potentially effective to reduce the dosage of sedatives and shorten the length of hospital stay in patients with traumatic brain injury. (目的 探讨神经外科颅脑损伤患者实施程序化镇静的效果, 总结护理流程。方法 选取2019年3月—2020年2月昆明医科大学第二附属医院神经外科收治的颅脑损伤患者64例, 采用随机数表法分为对照组和研究组, 各32例。对照组患者给予常规镇静治疗, 研究组实施程序化镇静治疗。比较两组患者的格拉斯哥昏迷评分(GCS)、Riker镇静躁动评分(SAS)、药物用量和平均住院天数。结果 治疗前两组患者GCS评分和SAS评分比较, 差异无统计学意义(P＞0. 05); 治疗后研究组患者GCS评分高于对照组, SAS评分低于对照组, 两组比较差异有统计学意义(P＜0. 01)。研究组患者的平均住院天数、药物用量低于对照组, 差异有统计学意义(P＜0. 01)。结论 对颅脑损伤患者应用程序化镇静治疗能减少镇静药物用量, 缩短患者住院天数, 进一步确保患者安全。)

Keywords

• traumatic brain injury
• procedural sedation
• perioperative nursing
• nursing evaluation
• 颅脑外伤
• 程序化镇静
• 围手术期护理
• 护理评估