摘要
目的探讨针对重症监护病房脑卒中和脑出血患者采取早期康复护理的临床干预效果。方法选择该院重症监护病房2017年6月—2018年4月期间诊治的脑卒中与脑出血患者84例作为研究样本,以随机抽样法分组为观察组和对照组。对照组患者治疗期间均采取常规护理,观察组患者则在该基础上采取早期康复护理。对比两组患者的ICU住院时间以及并发症情况。结果观察组患者的ICU住院时间为(3.16±1.42)d,显著短于对照组的(5.73±2.86)d,差异有统计学意义(t=5.256,P=0.000);观察组患者ICU住院治疗期间肺部感染率2.38%,对照组为9.52%(χ~2=4.068,P=0.001),观察组压疮率2.38%,对照组为11.90%,差异有统计学意义(χ~2=3.292,P=0.000),观察组尿潴留率2.38%,对照组为9.52%,差异有统计学意义(χ~2=3.162,P=0.001),观察组上消化道出血率0.00%,对照组为7.14%,差异有统计学意义(χ~2=6.482,P=0.000)。结论针对重症监护病房脑卒中、脑出血患者采取早期康复护理,有利于降低患者并发症风险并缩短患者ICU的住院治疗时间,该护理干预方案值得应用并推广。
Objective To investigate the clinical intervention effect of early rehabilitation nursing for patients with stroke and cerebral hemorrhage in intensive care unit.Methods 84 patients with stroke and cerebral hemorrhage diagnosed between June 2017 and April 2018 in our intensive care unit were selected as the study samples,and were randomly divided into observation group and control group.The patients in the control group received routine care during the treatment period,and the patients in the observation group took early rehabilitation care on the basis.The ICU stay time and complications were compared between the two groups.Results The ICU stay in the observation group was(3.16±1.42)d,which was significantly shorter than that of the control group(5.73±2.86)d,the difference was statistically significant(t=5.256,P=0.000).The incidence of pulmonary infection during ICU hospitalization in the observation group 2.38%,the control group was 9.52%,the difference was statistically significant(χ^2=4.068,P=0.001),the pressure ulcer rate was 2.38%in the observation group,11.90%in the control group,the difference was statistically significant(χ^2=3.292,P=0.000),and the urine retention rate in the observation group was 2.38%and the control group was 9.52%,the difference was statistically significant(χ^2=3.162,P=0.001).The upper gastrointestinal bleeding rate was 0.00%in the observation group and 7.14%in the control group,the difference was statistically significant(χ^2=6.482,P=0.000).Conclusion Early rehabilitation nursing for patients with stroke and cerebral hemorrhage in intensive care unit is beneficial to reduce the risk of complications and shorten the hospitalization time of patients in ICU.The nursing intervention program is worthy of application and promotion.
作者
冯满芝
FENG Man-zhi(ICU,Xishuangbanna People's Hospital,Xishuangbanna,Yunnan Province,666000 China)
出处
《系统医学》
2019年第5期156-158,共3页
Systems Medicine
关键词
重症监护病房
早期康复护理
脑出血
脑卒中
效果
Intensive care unit
Early rehabilitation nursing
Cerebral hemorrhage
Stroke
Effect
