摘要
目的:研究人性化护理联合早期综合护理干预运用于高血压脑出血患者微创颅内血肿引流术中的价值。方法:选择雷州市人民医院2021年4-9月纳入的50例高血压脑出血患者,按随机数字表法分为两组,各25例,研究组开展人性化护理联合早期综合护理干预,对照组实施常规护理,干预前后测定两组神经功能缺损量表(NIHSS)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生活质量(QOL)、生活能力(ADL)评分,护理结束后评价满意度,统计两组并发症,比较两组护理结果。结果:干预前两组的NIHSS、HAMD、HAMA、QOL、ADL评分比较差异无统计学意义(t=0.397、0.539、0.236、0.157、0.262,P=0.693、0.593、0.815、0.876、0.794),干预后研究组NIHSS、HAMD、HAMA低于对照组,QOL、ADL高于对照组(t=5.199、6.549、7.800、14.237、12.665,P=0.001);研究组满意度为92.00%,高于对照组的68.00%(χ^(2)=4.500,P=0.034);但研究组并发症发生率为12.00%,低于对照组的40.00%(χ^(2)=5.094,P=0.024)。结论:人性化护理联合早期综合护理干预的效果更为显著,不仅能够改善患者神经功能,同时缓解负性情绪,保持积极心态,并提升生活质量,增强日常生活能力,减少并发症出现,患者满意度高,值得推广。
Objective:To study the clinical value of humanistic nursing combined early comprehensive nursing interventions for hypertensive cerebral hemorrhage patients using minimally invasive operation of intracranial hematoma.Method:A total of 50 hypertensive cerebral hemorrhage patients treated from April to September 2021 in Leizhou City People’s Hospital were selected.According to random number table,the patients were divided into two groups,25 cases in each group.The research group was served with humanistic nursing combined with early comprehensive nursing interventions;the control group was served with routine care.Intervention effects were appraised through National Institute of Health stroke scale (NIHSS),Hamilton depression scale (HAMD),Hamilton anxiety scale (HAMA),quality of life (QOL) and activity of daily living (ADL) scores,and the nursing satisfaction and treatment complications were compared between the two groups.Result:Before intervention,there were no significant between-group differences about NIHSS,HAMD,HAMA,QOL and ADL scores (t=0.397,0.539,0.236,0.157,0.262,P=0.693,0.593,0.815,0.876,0.794).After intervention,NIHSS,HAMD and HAMA scores in the research group were lower than those of the control group,but QOL and ADL scores were higher than those of the control group (t=5.199,6.549,7.800,14.237,12.665,P=0.001).The nursing satisfaction in the research group (92.00%) was higher than that of the control group (68.00%) (χ^(2)=4.500,P=0.034).The treatment complication rate in the research group (12.00%) was lower than that of the control group (40.00%) (χ^(2)=5.094,P=0.024).Conclusion:The humanistic nursing combined with early comprehensive nursing interventions can reduce the negative emotions and treatment complications,keep the positive mental attitude,and improve the patients’ neurological function,quality of life,activity of daily living and nursing satisfaction.It is worthy of promotion.
作者
肖婕
许小军
XIAO Jie;XU Xiaojun(Leizhou City People’s Hospital,Leizhou 524200,China;不详)
出处
《中外医学研究》
2022年第13期82-85,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
湛江市科技计划项目(2021B101)。
关键词
微创颅内血肿引流术
人性化护理
高血压脑出血
早期综合护理
Minimally invasive operation of intracranial hematoma
Humanistic nursing
Hypertensive cerebral hemorrhage
Early comprehensive nursing
