摘要
目的探讨急诊护理干预对高血压性脑出血(Hypertensive intracerebral bemorrhage,HICH)患者的预后影响。方法选择2014年2月至2015年2月胶州市人民医院救治的76例HICH患者为研究对象,按照随机数字表法分为观察组和对照组两组,每组各38例,对照组采取院前急救,临床病情观察、体位护理、用药护理、饮食指导等常规护理,观察组采取急诊护理,主要包括有急救护理,生命体征监测护理、颅内高压护理、临床观察护理、必要手术术前护理准备、术后各项临床基础护理、康复护理及心理护理,对比两组护理干预对患者的NIHSS、FMA、Barthel指数、SF-36、SDS、SAS各项评分的影响。结果观察组患者37例救治成功,救治成功率97.37%,对照组32例救治成功,救治成功率84.21%,观察组救治成功率显著高于对照组(P<0.05)。观察组NIHSS评分11.21±3.08,对照组19.23±3.26,观察组Barthel指数78.92±8.65,对照组53.35±8.04,观察组FMA得分38.31±3.62,对照组23.68±3.46,观察组SAS得分47.41±5.42,对照组67.21±6.47,观察组SDS得分45.09±4.65,对照组59.83±4.74,观察组患者NIHSS(神经功能缺损)评分、Barthel指数、FMA(运动功能)评分均优于对照组(P<0.05),SDS(抑郁自评量表)、SAS(焦虑自评量表)评分均低于对照组(P<0.05),此外,观察组SF-36生活质量量表各维度评分高于对照组(P<0.05)。结论对HICH患者采取急诊护理,可有效改善患者预后,降低患者心理负性情绪,改善患者生存质量,效果值得肯定。
Objective To investigate the effect of emergency nursing intervention on the prognosis of patients with hypertensive cerebral hemorrhage (intracerebral bemorrhage Hypertensive, HICH ). Methods 76 cases of HICH patients were selected from February 2014 to February 2015,Jiaozhou City People’s hospital treatment as the research object,randomly divided into observation group and control group two groups,38 cases in each group,the control group adopted prehospital care,clinical observation, nursing,medication nursing,diet guidance and routine nursing,observation group take emergency care, including emergency care,monitoring of vital signs,nursing care,clinical observation and nursing of intracranial hypertension,necessary preoperative preparation and postoperative nursing of the clinical basic nursing,rehabilitation nursing and psychological nursing effects were compared between the two groups of nursing intervention on patients with NIHSS,FMA,Barthel,SF-36,SDS,SAS index the score.Results in the observation group,37 cases were treated successfully,the success rate of treatment was 97.37%, the control group 32 cases were successfully treated successfully,the success rate of treatment was 84. 21%,the success rate of observation group was significantly higher than that of control group (P<0.05). The observation group NIHSS score was 11.21 +3.08,19.23 +3.26 in the control group,the observation group Barthel index was 78.92 +8.65,53.35 +8.04 in the control group,the observation group FMA score 38.31 +3.62,23.68+3.46 in the control group,the observation group SAS score 47.41 +5.42, 67.21 +6.47 in the control group,the observation group SDS score was 45.09 +4.65.The control group is 59.83 +4.74,the patients in the observation group NIHSS (nerve function defect score,Barthel index),FMA (functional)scores were better than the control group (P <0.05 ),SDS (self rating Depression Scale (SAS),self rating Anxiety Scale)scores were lower than the control group (P<0.05). In addition,the observation group SF-36 quality of life scale of each dimension score higher than the control group (P<0.05).Conclusions HICH patients with emergency care,can effectively improve the prognosis of patients,reduce the psychological negative emotions,improve the quality of life of patients, the effect is worthy of recognition.
出处
《中华卫生应急电子杂志》
2016年第3期-,共4页
Chinese Journal of Hygiene Rescue(Electronic Edition)
关键词
急诊护理
高血压性脑出血
预后
emergency nursing
hypertension cerebral hemorrhage
prognosis
