强化护理干预在高血压病合并脑血管意外后急性昏迷患者中的应用  

Application of strengthening nursing intervention on acute coma patients with hypertension combined cerebral vascular accident

作　　者：毛云霞[1] 

机构地区：[1]浙江省江山市人民医院急诊科,324100

出　　处：《中华现代护理杂志》2015年第18期2156-2159,共4页Chinese Journal of Modern Nursing

基　　金：浙江省衢州市科技基金资助（2013118）

摘　　要：目的：探讨强化护理干预在高血压病合并脑血管意外后急性昏迷患者护理中的应用效果。方法于2013年4月—2014年4月选取102例高血压病合并脑血管意外后急性昏迷患者，根据入院时间分为对照组50例和观察组52例，其中对照组采用常规急救与护理方法，观察组在对照组基础上采用强化护理干预。比较两组治疗结局、护理相关性并发症发生率和护理满意度的差异。结果两组治愈率、残疾率、植物生存率和病死率比较差异无统计学意义（P ＞0.05）。观察组感染、应激性溃疡、脑水肿、脑疝和下肢深静脉血栓等护理相关并发症发生率均低于对照组，护理满意率高于对照组，差异均有统计学意义（P ＜0.05）。结论严密观察病情，有效的强化护理干预措施有助于降低高血压病合并脑血管意外患者的护理相关并发症发生率，提高护理质量。Objective To investigate the influence of strengthening nursing intervention on acute coma patients with hypertension combined cerebral vascular accident. Methods From April 2013 to April 2014,a total of 102 acute coma patients with hypertension combined cerebral vascular accident,were divided into the control group（n = 50）,which were given the conventional treatment and nursing methods,and the observation group（n = 52）,which were given the strengthening nursing intervention. The effects and nursing related complications rate were compared. Results The rates of cure,morbidity,mortality and plants survival of two groups had no significant differences（ P 〉 0. 05）. Nursing complication of infection,pressure ulcer,brain edema,cerebral hernia and low extremity deep vein thrombosis of the observation group were significantly lower than those of the control group（P 〈0. 05）. The nursing satisfaction rate between two groups was significantly different（P 〈0. 05）. The nursing satisfaction of the observation group was significantly higher than that of the control group. Conclusions Intensive observation of disease condition and effectively strengthening nursing intervention are associated with prognosis of acute coma patients with hypertension combined cerebral vascular accident. It helps to reduce nursing complication and improve the quality of nursing care.

关 键 词：高血压 卒中 昏迷 脑损伤后 强化护理干预 

分 类 号：R473[医药卫生—护理学]