心理辅导护理对行微创颅内血肿穿刺引流术的高血压脑出血患者的疗效  

Effect of psychological counseling nursing on patients with minimally invasive intracranial hematoma puncture and drainage after hypertensive cerebral hemorrhage

作　　者：孙文利[1] 王华[1] 孙宁[1] 袁连芳 

机构地区：[1]西安医学院第二附属医院神经内科,710038

出　　处：《国际精神病学杂志》2016年第5期898-900,941,共4页Journal Of International Psychiatry

基　　金：国家自然科学基金(30370747);陕西省教育专项科研基金(12JK0719)

摘　　要：目的探究心理辅导护理措施在高血压脑出血患者经微创颅内血肿穿刺引流术治疗后的临床效果。方法选取我院2015年1月-2016年1月收治的高血压脑出血行微创颅内血肿穿刺术的患者100例，根据随机数字法分为观察组（50例）和对照组（50例）。对照组患者采取常规护理手段，观察组患者在常规护理的基础上予以心理辅导护理；观察并比较两组患者术后护理方式满意度、临床疗效、并发症发生率以及出院时Herth希望评分。结果两组患者护理前Herth希望评分组间无明显差异（P〉0．05）。观察组的护理模式满意度、治疗疗效均高于对照组（P〈0．05）；观察组术后的并发症的发生情况低于对照组（P〈0．05），；观察组患者在出院时的Herth希望评分显著高于对照组患者（P〈0．05）。结论心理辅导护理有利于高血压脑出血患者经微创颅内血肿穿刺引流术的术后恢复，降低了术后并发症的发生率，并有效提高了患者的希望水平和护理满意度，值得临床推广。Objective To explore the effect of psychological counseling nursing on patients with minimally invasive intracranial hematoma puncture and drainage after hypertensive cerebral hemorrhage. Methods From January 2015 to January 2016, 100 cases of patients with minimally invasive intracranial hematoma puncture and drainage after hypertensive cerebral hemorrhage in our hospital were collected and randomly divided into the observation group and the control group,50 cases for each group;patients in the control group were given with conventional nursing, while those in observation group were given psychological counseling nursing on the basis of the routine one. Observing and comparing the two groups of patients with postoperative care satisfaction, clinical efficacy, the incidence of complications and the discharging Herth hope score. Results Before carrying out intervention, there was no statistical differences of Herth hope scores between the two groups （P〉0.05）. After the implication of intervention, the postoperative care satisfaction of the observation group were significantly higher than that of the control group （P 〈 0.05）. The the incidence of complica- tions of observation group was considerably lower than that of the control group （P 〈 0.05）, the discharging Herth hope score was significantly higher than that of the control group （P〈0.05）. Conclusion Psychological counseling nursing on patients with minimally invasive intracranial hematoma puncture and drainage after hypertensive cerebral hemorrhag can be better to improve surgery recovery, reduce the incidence of postoperative complications, and improve the hopes of patients and nursing satisfaction.Thus, it is worthy of the clinical promotion

关 键 词：高血压脑出血 微创颅内血肿穿刺引流术 心理辅导护理 

分 类 号：R749.99[医药卫生—神经病学与精神病学]