本文關(guān)鍵詞： 定向力 認知 約束 身體的　出處：《中華護理雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探索適用于神經(jīng)外科重癥監(jiān)護病房(neurosurgical intensive care unit,NICU)患者解除身體約束的評估工具。方法對70例格拉斯哥昏迷評分(Glasgow Coma Scale,GCS)13~15分且實施身體約束的NICU患者,使用改良版約翰霍普金斯認知量表(Adapted Johns-Hopkins Cognitive Exam,ACE)進行評定。根據(jù)評定結(jié)果分為定向力正常組和定向力非正常組,對定向力正常組解除身體約束,觀察兩組非計劃拔管發(fā)生情況及整體認知功能情況。結(jié)果定向力正常組解除身體約束后無非計劃拔管發(fā)生,定向力非正常組有5例發(fā)生6次拔管(P0.05)。就整體認知功能狀況而言,定向力正常組測得其他認知分項及總分分值均明顯高于定向力非正常組(P0.05)。結(jié)論 ACE可作為NICU患者定向力評估的工具,定向力正常可作為判斷GCS評分13~15分的NICU患者解除身體約束的一個指征。
[Abstract]:Objective to explore the application of neurosurgical intensive care unit in neurosurgical intensive care unit (ICU). Methods 70 cases of Glasgow Coma Scale were assessed with Glasgow Coma Scale. NICU patients with 13 ~ 15 GCS and physical restraint. The modified Johns Hopkins Cognitive scale was used to adapt Johns-Hopkins Cognitive Exam. According to the results of the evaluation, it was divided into normal directional force group and non-normal orientation force group. Results the unplanned extubation and the overall cognitive function were observed in the two groups. In the group of abnormal directional force, 6 extubation occurred in 5 cases (P0.05A). As far as the overall cognitive function was concerned. The scores of other cognitive sub-items and total scores were significantly higher in the group with normal orientation than those in the group with abnormal orientation (P 0.05). Conclusion ACE can be used as a tool for the evaluation of orientation in patients with NICU. The normal orientation can be used as an indication of the release of physical restraint in patients with NICU with GCS scores of 13 ~ 15 points.
【作者單位】： 常州市第一人民醫(yī)院神經(jīng)外科;常州市第一人民醫(yī)院康復(fù)醫(yī)學(xué)科;
【基金】：常州市衛(wèi)生與計劃生育委員會指導(dǎo)性科技項目(WZ201611)
【分類號】：R473.6
【正文快照】： 研究[1-3]發(fā)現(xiàn),神經(jīng)外科最易發(fā)生非計劃拔管不良事件,拔管患者中以格拉斯哥昏迷評分(Glas-gow Coma Scale,GCS)13~15分居多。鑒于此,神經(jīng)外科重癥監(jiān)護病房(neurosurgical intensive care unit,NICU)護士多使用身體約束以防止患者非計劃拔管[4],然而約束的解除卻是一延再延。究

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