曼谷芭堤雅医院实施轻度创伤性脑损伤临床护理实践指南的效果

Chanthika Thitasawadchaikan, Apinya Siripitayakunkit, Sawai Norasan, Decha Kinthorn
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摘要

目的:本研究的目的是评估曼谷芭堤雅医院实施临床护理实践指南对轻度创伤性脑损伤患者的影响。材料与方法:在这个准实验研究中,有一组设计。参与者为40例符合纳入标准的轻度创伤性脑损伤患者。患者按照临床护理实践指南进行治疗。采用人口统计资料、Rivermead脑震荡后症状问卷、Rivermead头部损伤随访问卷和满意度问卷等问卷收集数据。数据分析采用描述性统计和Wilcoxon sign -rank检验。结果:轻度外伤性脑损伤伴脑震荡后症状的患者对日常生活的影响从轻度到中度不等。症状分别在发病后2周、4周和6周内得到改善。功能性能显著提高(p < 0.05)。05)在创伤性脑损伤后2、4和6周内。患者对护理的满意度较高。结论:CNPG可通过减少并发症和提高轻度颅脑损伤患者的功能表现来改善患者预后。
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Effect of Implementing Clinical Nursing Practice Guideline for Mild Traumatic Brain Injury at Bangkok Pattaya Hospital
OBJECTIVES: The objective of this study is to evaluate the effects of implementing clinical nursing practice guidelines in mild traumatic brain injury patients at Bangkok Pattaya Hospital. (CNPG) MATERIALS AND METHODS: In this quasi-experimental study there was one group design. Participants were 40 mild traumatic brain injury patients who fulfilled the inclusion criteria. Patients were treated according to clinical nursing practice guidelines. Data were collected using a set of questionnaires, including demographic information, the Rivermead post-concussion symptoms questionnaire, the Rivermead head injury follow up questionnaire and satisfaction questionnaire. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. RESULTS: Patients with mild traumatic brain injury and post-concussion symptoms have been affected with an impact on daily life ranging from mild to moderate. The symptoms were improved within 2, 4 and 6 weeks after the onset, respectively. The functional performance was significantly increased ( p < 0. 05) within 2, 4 and 6 weeks after traumatic brain injury. The satisfaction of patients with nursing care was at a high level. CONCLUSION: The CNPG can improve patient outcomes by minimizing complications and enhancing the functional performance of mild traumatic brain injury patients.
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