摘要
目的 探究个性化护理对李斯特菌脑膜脑炎患者干预的价值。方法 选取2024年1月-2024年12月本院收治的李斯特菌脑膜脑炎患者60例进行研究，采取抽签法分组，对照组行常规护理，观察组行个性化护理。采取格拉斯哥昏迷评分量表（Glasgow coma scale,GCS）评估护理前后李斯特菌脑膜脑炎患者脑功能受损情况；并采取日常生活活动能力量表（Activitiesof daily living,ADL）评估患者预后情况。结果 护理前两组李斯特菌脑膜脑炎患者的GCS评分无统计差异，P>0.05，护理后观察组GCS评分偏高，表明观察组脑功能受损导致的意识状态不良影响较低P<0.05。两组李斯特菌脑膜脑炎患者护理前ADL评分无对比意义，P>0.05，护理后各时期的ADL评分，观察组高于对照组，表明观察组患者受疾病影响较少，生活能力偏高P<0.05。结论 李斯特菌脑膜脑炎会导致患者不同程度的脑功能受损，个性化护理有助于排查患者个体病况予以针对性施护，降低症状不良影响，改善预后。
关键词： 个性化护理；李斯特菌；脑膜脑炎
Abstract
Objective To investigate the value of personalized nursing in the intervention of Listeria meningitis patients. Methods A total of 60 Listeria meningitis patients admitted to our hospital from January 2024 to December 2024 were selected for study. Patients were divided into groups using a lottery method; the control group received routine care, while the observation group received personalized care. The Glasgow Coma Scale (Glasgow coma scale, GCS) was used to assess brain function impairment before and after nursing; the Activities of Daily Living (Activities of daily living, ADL) scale was used to evaluate patient prognosis. Results There was no statistically significant difference in GCS scores between the two groups before nursing, P> 0.05. After nursing, the GCS score in the observation group was higher, indicating that the adverse effects on consciousness due to brain function impairment were less severe in the observation group, P <0.05. There was no significant difference in ADL scores before nursing, P> 0.05. After nursing, the ADL scores at various time points in the observation group were higher than those in the control group, indicating that patients in the observation group were less affected by the disease and had higher living abilities, P <0.05. Conclusion Listeria meningitis can cause varying degrees of brain function impairment in patients. Personalized nursing helps identify individual patient conditions and provide targeted care, reducing adverse effects of symptoms and improving prognosis.
Key words： Personalized nursing; Listeria; Meningitis
参考文献 References
[1] 李晓芳,金鑫,史颖,等.单核细胞增生李斯特菌脑膜脑炎二例[J].中华医学杂志,2021,101(8):2.
[2] 张轩,周莉,吴孝苹.脑脊液宏基因组二代测序诊断李斯特菌脑膜脑炎一例[J].华西医学,2022,37(8):4.
[3] 魏燕玲,王红旗,黄上媛.成人单核细胞增多性李斯特氏菌脑膜脑炎一例报告[J].中华医学检验杂志,2021,12(3): 155-156.
[4] 盛琪,王启征,刘小马.Ommaya囊植入治疗单核细胞增多性李斯特脑膜炎后脑积水1例[J].国际医药卫生导报,2024,30(03):511-514.
[5] 李露禾,李丹丹,李丹.临床药师参与1例李斯特菌脑膜炎感染治疗报道[J].生物医学,2025,15(2):4.
[6] 郝江瑞,郝月明,杨变转.疑为病毒性脑膜脑炎二代测序确诊为李斯特菌脑膜脑炎1例临床分析并文献复习[J].基层医学论坛,2024,28(24):9-11.
[7] 李鑫,栗静,王力群,等.脑脊液二代测序确诊社区获得性产单核细胞李斯特脑膜脑炎三例[J].中国神经免疫学和神经病学杂志,2021,28(1):2.
[8] 张建昭,孙静,李冠男,等.5岁及以上细菌性脑膜炎/脑膜脑炎患儿39例临床特征分析[J].临床儿科杂志, 2023,41 (5): 376-380.
[9] 丁雪梅,殷翔,崔俐.单核细胞增生性李斯特菌致中枢神经系统感染12例临床分析[J].中华临床感染病杂志, 2024,17(05):383-388.