内科理论与实践2025，Vol.20Issue(4)：306-311,6.DOI:10.16138/j.1673-6087.2025.04.08
基于生物钟规律的五感促醒护理模式对脑性昏迷住院患者意识状态的干预效果
Intervention effect of five senses awakening nursing mode based on the circadian rhythm on the conscious state of hospitalized patients with cerebral coma
摘要
Abstract
Objective To explore the impact of five senses awakening nursing mode based on the circadian rhythm in conscious hospitalized patients with cerebral coma.Methods Using convenience sampling method,a total of 43 patients with cerebral coma admitted to the Department of Geriatrics,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine from May 2023 to April 2024 were selected.The patients in the even-numbered wards were set as the observation group(n=22),and those in the odd-numbered wards were set as the control group(n=21).The control group received routine nursing mode while the observation group received five-sense awakening nursing mode in addition to routine nursing.A comparison was made between the two groups at different periods regarding Glasgow coma score(GCS),coma recovery scale-revised(CRS-R),recovery efficiency and recovery time.Results There was an interaction between the group factor and the time factor in the GCS score and the CRS-R score in the two groups(F=9.765,P<0.001;F=12.846,P<0.001).After the intervention,there were significant differences in the changes of the GCS and the CRS-R score at different time points between the two groups(F=243.934,P<0.001;F=239.111,P<0.001).There were statistical differences in the changes of the GCS and the CRS-R score between the two groups(F=5.040,P<0.05;F=7.779,P<0.05).The recovery rate of the observation group was higher than that of the control group(P<0.05),and the recovery time was shorter than that of the control group(P<0.01).Conclusions The five-sensory stimulation nursing approach based on the circadian rhythm,can improve the consciousness state of patients with cerebral coma and facilitate their awakening.关键词
昼夜节律/多感官刺激/意识障碍/脑性昏迷/护理Key words
Circadian rhythm/Multisensory stimulation/Disorders of consciousness/Cerebral coma/Nursing分类
医药卫生引用本文复制引用
吕卓蓓,朱琳,荣岚,吕晓琼,储佳妮,成志英..基于生物钟规律的五感促醒护理模式对脑性昏迷住院患者意识状态的干预效果[J].内科理论与实践,2025,20(4):306-311,6.基金项目
上海交通大学医学院附属瑞金医院护理科研基金项目(RJKH-2023-027) （RJKH-2023-027）
