摘要
目的分析预见性护理干预方案,总结预见性护理干预对急性期脑出血患者安全性以及康复预后的影响。方法选择我院神经内科2019年5月至2020年2月收治的110例急性期脑出血患者,进行随机数字表法分组,对照组与观察组各55例,对照组采取神经内科常规护理,观察组则配合预见性护理干预。比较两组急性期脑出血患者的护理效果,包括护理满意度、并发症发生率以及生活能力、神经缺损、生活质量改善情况。结果观察组护理总满意度(94.54%vs.72.72%)明显高于对照组,并发症发生率(3.64%vs.49.09%)明显低于对照组,P<0.05。护理前,观察组及对照组的Barthel指数评分分别为([66.00±4.60)分vs.(68.00±5.60)分]、NIHSS评分为[(22.00±3.30)分vs.(23.00±3.50)分]、ADL评分为[(68.80±5.50)分vs.(69.00±5.60)分],差异无统计学意义,P>0.05;护理后,观察组的Barthel指数评分分别为[(90.50±5.00)分vs.(78.50±6.00)]分明显高于对照组,NIHSS评分为[(13.30±2.0)分vs.(23.50±3.00)分]明显低于对照组,ADL评分为[(88.80±6.50)分vs.(78.80±5.60)分]明显高于对照组,P<0.05。结论急性期脑出血患者发生脑疝、消化道出血、肺部感染等并发症风险较高,予以患者常规护理辅助预见性护理干预可以提高患者的安全性,促进患者康复。
Objective To analyze the predictive nursing intervention program and summarize the effect of predictive nursing intervention on the safety and prognosis of patients with acute cerebral hemorrhage.Methods Patients with acute stage cerebral hemorrhage(n=110)admitted to the department of neurology of our hospital from May 2019 to February 2020 were selected and given supportive treatment.Besides,55 patients in the control group and observation group were randomly divided into two groups by the number table method.Patients with acute cerebral hemorrhage in the control group received routine nursing care,and patients with acute cerebral hemorrhage in the observation group received predictive nursing intervention.The nursing effect of two groups of patients with acute cerebral hemorrhage was compared,including nursing satisfaction,complication rate,ability to live,nerve defect and improvement of quality of life.Results The total nursing satisfaction of the observation group(94.54%vs.72.72%)was significantly higher than that of the control group,and the incidence of complications(3.64%vs.49.09%)was significantly lower than that of the control group,P<0.05.Before nursing,Barthel index score of observation group and control group[(66.00±4.60)points vs.(68.00±5.60)points],NIHSS score[(22.00±3.30)points vs.(23.00±3.50)points],ADL score[(68.80±5.50)points vs.(69.00±5.60)points],the difference was not statistically significant,P>0.05;after nursing,the Barthel index score of the observation group[(90.50±5.00)points vs.(78.50±6.00)points]was significantly higher than the control group,NIHSS score[(13.30±2.00)points vs.(23.50±3.00)points]was significantly lower than the control group,ADL score[(88.80±6.50)points vs.(78.80±5.60)points]significantly higher than the control group,P<0.05.Conclusion Patients with acute intracerebral hemorrhage are at higher risk of complications such as cerebral hernia,gastrointestinal bleeding and pulmonary infection.Routine nursing assisted predictive nursing intervention in neurology department can improve the safety of patients and further promote their recovery.
作者
吕晓露
LYU Xiaolu(Department of Internal Medicine,Dalian Public Security Hospital,Dalian 116011,China)
出处
《中国医药指南》
2022年第19期136-138,共3页
Guide of China Medicine
关键词
预见性护理干预
急性期脑出血
并发症情况
康复效果
Predictive nursing intervention
Acute cerebral hemorrhage
Complications
Rehabilitation effect
