Family Empowerment Observation On Effect Of Applying Nursing In Department Of Neurosurgery In Critically Ill Patients

Objective:Condition monitoring, psychological nursing, health education, emergency care, emergency care, after the early enteral nutrition support routine nursing in Department of neurosurgery in critically ill patients, can effectively improve the immune function of the patients with resistant ability, improve the body metabolism level of patients, reduce the clinical complication generation, reduce mortality, improve the prognosis of patients with effect the. In order to further improve the quality of life level of patients, reduce the probability of occurrence of clinical complications, improve the patients and their family members of mental state, this topic through carrying out family empowerment nursing, for hospitalized patients or their families are weighted, so that they can participate in collaborative work in the process of nursing; visit responsibility nurse patient family member to pick Shao ICU environment the patient’s condition, treatment options, vital signs, let the family members of patients in coma wake, touching, and guide the family members participate in the formulation of medical care scheme. In order to decrease the anxiety of family members, increase satisfaction, harmonious medical patient relationship, promote the rehabilitation of the patients.Methods:248 cases of severe patients selected during 2012.04-2013.04 receive treatment in the intensive care room department of neurosurgery in our hospital, the application of computer random sampling method will be the average divided into two groups,Patients admitted to an odd group of order, even the order of a group of patients admitted. take a group of 124 patients condition monitoring, psychological nursing, health education, basic nursing, emergency care, emergency care, after the early enter-al nutrition support the routine nursing as the control group in the test; at the same time in the conventional nursing another group of 124 patients with family empowerment nursing intervention as the study group trial. Application of "critically ill patients and family empowerment scale" to evaluate the psychological nursing on psychological status of two groups of patients and their families, including a total of 3 dimensions,12 items. The two groups were observed and the quality of life of patients, the clinical indexes of health education, awareness, compliance, and make analysis, the detailed record and statistical treatment.Results:Reliability and validity of the test is good, empowerment dimensions and total score of psychological nursing care scale correlation between 0.61-0.78; Cronbach’a factor is about 0.88; the split half reliability was about 0.83 (P<0.05); the test-retest reliability of about 0.84 (P<0.05).The average score of psychological nursing in patients of the study group empowerment for (4.58+0.23); the average score of weight control psychological nursing were (3.46+0.54) points, respectively, and the weighted score of 5 compared to the best effect of psychological empowerment, the patients in study group received psychological nursing score level at a high level,the advantages of clear, there was statistical significance differences in P<0.05.Study group patients comfortable service dimensions mean score of (4.69+0.37points, the necessary information dimension mean score of (4.54+ 0.43);the control group patients comfortable service dimensions mean score of (3.88+0.29) points, the necessary information dimension mean score of (3.79 +0.56),the contrast between the two groups with significant differences, there was statistical significance in P<0.05. At the same time, the patients in intensive care period corresponding to the family empowerment also obvious difference exists between psychological nursing score. Research on the family empowerment group psychological nursing scored an average of (4.31+0.22); the control group families empowerment psychological nursing scored an average of (3.76+0.63), in the range of weighting score 1-5 points in psychological theory,research group family empowerment psychological scoring at a high level,P<0.05 had statistical significance. Research group of families of self support dimension mean score of (4.58+0.34) points, emotional support dimensions mean score of (4.14+0.66);the control group families self support dimension mean score of (3.85+0.42)points,emotional support dimensions mean score of(3.77+0.46),there was significant difference compared to two there was statistical significance between the groups, P<0.05. The SF-36 scale of quality of life survey showed:two groups of patients in nursing before intervention, quality of life score between 8 dimensions of comparison, no statistically significant differences in P>0.05. After the nursing intervention, the physiological function of the patients in the study groups score by (78.42+11.57) points improved to(87.31+11.57), the difference was statistically significant P<0.05; general health score by (36.58+7.85) points improved to (48.58+8.04),the difference was statistically significant (P<0.05; social function score by 75.65+21.53) points improved to (86.13+ 16.09), the difference was statistically significant P<0.05;mental health score by (67.63+13.59) points improved to (76.25+10.25), the difference was statistically significant P<0.05. But the smaller increase in health changes, emotional function, energy, physical pain, physical function, the total score and other aspects, no statistically significant differences in P>0.05.Patients in the control group the emotional function, social function, bodily pains cores were declining trend, but the difference was not statistically significant in P>0.05. Effect of various aspects of the study group patients in compliance,health education, nursing satisfaction rate, the awareness rate of complications was significantly better than the control group, significant differences in contrast P<0.05Conclusion:Clinical practice family empowerment nursing applied to critically ill patients in Department of Neurosurgery, through "critically ill patients and family empowerment scale" psychological nursing can critically ill patients and their families can accurately evaluate Fu psychological status, provide evaluation reference exists in the process of empowerment of patients or their families, in order to facilitate the nursing service quality improved, fully guarantee the maximum rights of patients, to mobilize the initiative of patients and their family members participate actively, effectively avoid or reduce the occurrence of critically ill patients and their families of bad mood may, in favor of the patient’s own disease recovery. At the same time, weighted by the family nursing intervention, with full respect for the rights of patients and their families, for patients and their families can be actively involved in the clinical treatment and nursing work, to the maximum extent improve the compliance of patients. On the other hand, significantly improve the quality of life of patients, the treatment and nursing process showed good compliance, can skilled grasp the health knowledge, enhance self-protection awareness of prevention, avoid or reduce the postoperative complications, and improve the overall level of nursing care of critically ill patients, reduce the patients and their families the psychological burden and economic pressure, provides medical, nursing and psychological aspects of important support for the rehabilitation of the patients.