摘要
目的探讨延续性护理在高血压脑出血术后患者中的应用。方法选择2014年1月~2016年1月我院收治的确诊为高血压脑出血患者90例,将其随机分为观察组与对照组,各45例。两组患者住院期间进行相同的治疗方法,观察组在出院后采用延续性护理进行干预,对照组则不给予护理干预,随访1年,比较两组患者的健康行为情况、血压情况、生活能力、再出血情况。结果观察组健康行为各指标得分均高于对照组,差异有统计学意义(P<0.05)。护理前,两组患者血压(收缩压、舒张压)水平、MBI得分比较,差异均无统计学意义(P>0.05),护理后,观察组患者血压水平低于对照组,MBI评分高于对照组,差异有统计学意义(P<0.05)。观察组再出血率低于对照组,差异有统计学意义(P<0.05)。结论将延续性护理应用到高血压脑出血患者中,有助于患者在出院后建立良好的健康行为,更加有助于血压的控制,减少再出血的发生,值得推广。
Objective To explore the application of continuous nursing in patients after operation with hypertensive cerebral hemorrhage. Methods 90 cases of patients diagnosed with hypertensive cerebral hemorrhage in our hospital from January 2014 to January 2016 were selected and randomly divided into the observation group and the control group,with 45 cases in each group.All the patients were given the same treatment method in hospital,the observation group were given continuous nursing intervention,while the control group were given no nursing intervention.The health behavior, the blood pressure,the rate of rebleeding were compared between two groups. Results Tile scores of all indexes of health behavior in the observation group were higher than those in the control group,and the differences were statisti- cally significant（P〈0.05）.Before nursing,there were no significantly different among the levels of blood pressure （systolic and diastolic pressure）,the score of MBI in two groups （P〉0.05）;after nursing,the levels of blood pressure in the observation group were lower than those in the control group,the score of MBI in the observation was higher than that in the control group,and the differences were statistically significant（P〈0.05）.The rate of rebleeding in the observation was lower than that in the control group,and the difference was statistically significant（P〈0.05）.Conclusion The application of continuous nursing care to patients with hypertensive cerebral hemorrhage, help patients to establish good health behavior after discharge, more help to control blood pressure, reduce the occurrence of bleeding time, it is worth promoting.
出处
《中国当代医药》
2017年第14期182-184,共3页
China Modern Medicine
关键词
延续性护理
高血压
脑出血
Continuous nursing
Hypertensive
Cerebral hemorrhage
