摘要
目的:观察四感促醒护理在高血压性脑出血术后昏迷患者中的应用效果。方法:选取2021年1月至2023年1月该院收治的102例高血压性脑出血术后昏迷患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各51例。对照组实施常规护理,观察组在对照组基础上实施四感促醒护理,两组均持续护理4周。比较两组平均苏醒时间,护理前后格拉斯哥昏迷评分法(GCS)评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分,并发症发生率,以及护理满意度。结果:观察组平均苏醒时间短于对照组,差异有统计学意义(P<0.05);护理后,观察组GCS评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.92%(2/51),低于对照组的17.65%(9/51),差异有统计学意义(P<0.05);观察组护理满意度为96.08%(49/51),高于对照组的80.39%(41/51),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施四感促醒护理可缩短高血压性脑出血术后昏迷患者苏醒时间,降低NIHSS评分和并发症发生率,提高GCS评分和护理满意度,效果优于单纯常规护理。
Objective:To observe application effects of four-sensory awakening stimulation nursing in patients with coma after hypertensive cerebral hemorrhage surgery.Methods:A prospective study was conducted on 102 patients with coma after hypertensive cerebral hemorrhage surgery admitted to the hospital from January 2021 to January 2023.They were divided into control group and observation group according to the random number table method,51 cases in each group.The control group received routine nursing,while the observation group received the four-sensory awakening stimulation nursing on the basis of that of the control group.Both groups received continuous nursing for 4 weeks.The average awakening time,the Glasgow coma scale(GCS)score,the neurological deficits[National Institutes of Health stroke scale(NIHSS)]score,the incidence of complications,and the nursing satisfaction before and after nursing were compared between the two groups.Results:The average awakening time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the GCS score of the observation group was higher than that of the control group,the NIHSS score was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 3.92%(2/51),which was lower than 17.65%(9/51)in the control group,and the difference was statistically significant(P<0.05).Furter,the nursing satisfaction of the observation group was 96.08%(49/51),which was higher than 80.39%(41/51)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the four-sensory awakening stimulation nursing can shorten the awakening time of the coma patients after hypertensive cerebral hemorrhage surgery,reduce the NIHSS scores and the incidence of complications,and improve the GCS scores and the nursing satisfaction.Moreover,it is superior to single routine nursing.
作者
熊小洁
李雨花
XIONG Xiaojie;LI Yuhua(Department of Neurosurgery of Jiujiang First People’s Hospital,Jiujiang 332000 Jiangxi,China)
出处
《中国民康医学》
2023年第22期165-167,共3页
Medical Journal of Chinese People’s Health
关键词
高血压性脑出血
昏迷
四感促醒护理
苏醒时间
神经功能缺损
并发症
Hypertensive cerebral hemorrhage
Coma
Four-sensory awakening stimulation nursing
Awakening time
Neurological deficit
Complication
