Application of early warning of stress injury combined with hierarchical nursing in perioperative period of craniocerebral injury
压力性损伤预警结合层级护理在颅脑损伤围术期中的应用

摘要

目的 观察分析对颅脑损伤患者实施围术期压力性损伤预警结合层级护理的临床效果和应用价值。方法 选择院内就诊的60例颅脑损伤患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以随机数字为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规围术期护理，压力性损伤预警结合层级护理。收集分析护理效果。结果 与对照组（常规围术期护理）相比，实验组（压力性损伤预警结合层级护理）不良反应发生率更低，BDNF水平更高，NSE水平、MBP水平更低，认知功能评分（定向力/记忆力/注意力及计算力/回忆力/语言）更高，差异具有统计学意义（P<0.05）。结论 压力性损伤预警结合层级护理可以有效减少颅脑损伤患者不良反应发生率，促进神经功能恢复，改善认知功能，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of perioperative stress injury early warning combined with hierarchical care in patients with craniocerebral injury.
Methods 60 patients with craniocerebral injury in hospital (sample inclusion number: 60 patients; sample inclusion time: May 2023 to May 2024) were selected, divided into control and experimental groups, and highly consistent. Routine perioperative nursing was implemented separately, with early warning of stress injury combined with hierarchical nursing. Collect and analyze the nursing effect.
Results Compared with the control group (routine perioperative care), the experimental group (stress injury warning combined with hierarchical care) had a lower incidence of adverse reactions, higher BDNF, lower NSE, MBP, and higher cognitive function scores (orientation / memory / attention / memory / language), and the difference was statistically significant (P <0.05).
Conclusion   Early warning of stress injury combined with hierarchical care can effectively reduce the incidence of adverse reactions in patients with craniocerebral injury, promote the recovery of neural function and improve cognitive function, which has high application value.