Comprehensive preventive nursing measures to prevent postoperative neurosurgeryEffects of incontinence dermatitis (IAD) in comatose patients
综合预防性护理措施对预防神经外科术后昏迷患者失禁性皮炎（IAD）的效果

摘要

目的 患者在神经外科接受手术治疗之后，为防止患者在昏迷期间出现失禁性皮炎情况，实施综合预防性护理的相关护理措施在临床上的防护效果，为此类患者术后护理提供有效依据。方法 选取的研究对象均来自2020年1月～2021年12月期间，在我院神经外科接受手术治疗的患者，选取的患者人数为100例，为实施对比实验，将患者均分为两组，实施不同的护理方式形成对照，分别将常规护理和综合预防性护理应用于对照组和研究组患者的术后护理过程中，将其临床效果的差异进行统计分析。结果 (1）将失禁性皮炎按照病情程度分为三类，研究组患者发生三类失禁性炎的概率均比对照组更小，差异明显（p＜0.05）；（2）在发生失禁性皮炎的时长方面，研究组患者发生的时间更短（p＜0.05）；（3）对患者实施GCS评分，在干预前两组患者的评分差异不显著，没有统计学意义.而在接受不同的护理干预之后，研究组患者的评分增加幅度远大于对照组患者（p＜0.05）。结论 在神经外科接受手术治疗的患者的术后恢复过程中，实施综合预防性护理可以有效地降低患者出现失禁性皮炎的临床概率，对于已经发生失禁性皮炎的患者而言，也可以有效缩短患者症状持续时间，改善患者的昏迷情况，有效提升患者临床护理质量，值得推广。

Abstract

Objective To prevent the occurrence of incontinence dermatitis in patients after neurosurgery, in order to prevent patients from developing incontinence dermatitis during coma, implement comprehensive preventive nursing related nursing measures in clinical protection effect, and provide effective postoperative nursing care for such patients. in accordance with.
Methods The selected research subjects were all from patients who received surgical treatment in our hospital's neurosurgery from January 2020 to December 2021. The number of selected patients was 100. For the purpose of comparative experiments, the patients were divided into two groups. Different nursing methods were implemented to form a comparison, and routine nursing and comprehensive preventive nursing were applied to the postoperative nursing process of patients in the control group and the study group, and the differences in clinical effects were statistically analyzed.
Results (1) The incontinence dermatitis was divided into three categories according to the severity of the disease. The probability of the three types of incontinence dermatitis in the study group was smaller than that in the control group, and the difference was significant (p<0.05); (2) In the case of incontinence dermatitis In terms of the length of time, the occurrence time of the patients in the research group was shorter (p<0.05); (3) GCS scores were applied to the patients. Before the intervention, the scores of the two groups of patients were not significantly different, and there was no statistical significance. After the intervention, the scores of the patients in the study group increased significantly more than those in the control group (p < 0.05).
Conclusion   In the postoperative recovery process of patients undergoing surgical treatment in neurosurgery, the implementation of comprehensive preventive care can effectively reduce the clinical probability of incontinence dermatitis in patients. The duration of symptoms, improving the coma of patients, and effectively improving the quality of clinical care of patients are worthy of promotion.