预见性护理干预对脑出血患者术后神经康复、生活质量的影响  

Effects of predictive nursing intervention on neurological rehabilitation and quality of life in patients with intracerebral hemorrhage

作　　者：苏丹[1] 胡秀兰[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经重症医学科,北京100050

出　　处：《中国医药导报》2017年第31期177-180,F0003,共5页China Medical Herald

基　　金：首都医科大学附属天坛医院"青年科研基金"资助项目(2015-YQN-29)

摘　　要：目的探讨预见性护理干预对脑出血患者术后神经康复、生活质量的影响。方法选取2016年3月~2017年1月首都医科大学附属北京天坛医院接受治疗的110例脑出血患者为研究对象。按照随机数字表法分为对照组和观察组,每组各55例,对照组采用常规护理措施,观察组采用预见性护理干预措施。比较两组患者生活质量、神经康复、满意度及并发症发生率。结果护理前两组患者生活质量各项指标(包括肢体功能、社会角色、家庭角色、情绪状况、思维状况、活动能力)评分比较,差异无统计学意义(P>0.05);护理后两组患者上述指标评分均高于护理前,观察组评分明显高于对照组,差异均有统计学意义(P<0.05)。术后1、5、10 d及出院时两组组内NIHSS评分比较,差异有统计学意义(P<0.05),且观察组上述不同时间点NIHSS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度(98.18%)高于对照组(88.00%),差异有统计学意义(P<0.05)。观察组患者并发症发生率(5.45%)低于对照组(14.54%),但差异无统计学意义(P>0.05)。结论预见性护理干预可促进脑出血患者神经功能快速康复,改善生活质量及预后,提高护理满意度,值得临床推广应用。Objective To explore the effect of predictive nursing intervention on neurological rehabilitation ana quamy of life in patients with cerebral hemorrhage. Methods A total of 110 patients with cerebral hemorrhage treated in Beijing Tian Tan Hospital from March 2016 to January 2017 were selected as research objects and divided into the control group and the observation group by random number table, with 55 cases in each group. The control group was given rou- tine nursing care and the observation group was given predictive nursing intervention. Quality of life, neurological reha- bilitation＂ nursing satisfaction and incidence of complications were compared between two groups. Results Before nursing, there were no significant differences in the scores of indicators on quality of life between the two groups （includes phys ical function, social role, family role, emotional status, mental status and activity ability） （P 〉 0.05）. After nursing, the scores of indicators above in the two groups were all increased and those in the observation group increased more remarkably （P 〈 0.05）. After operation of 1, 5, 10 d and at discharge time, there were statistically significant differences in the scores of national institute of health stroke scale （NIHSS） within- groups and the scores in the observation group were all lower than those of control group at different time points, with statistically significant difference （P 〈 0.05）. The nursing satisfaction in the observation group （98.18%） were higher than that of control group （88.00%）, with statistically significant difference （P〈 0.05）. The incidence of complications in the observation group （5.45%） was lower than that of control group （14.54%）, but with no statistically significant difference （P 〉 0.05）, Conclusion Predictive nursing intervention can significantly improve the neurological rehabilitation in patients with cerebral hemorrhage, promote quality of life and prognosisi improve the nursing satisfaction, I

关 键 词：护理干预 脑出血 神经恢复 生活质量 

分 类 号：R473[医药卫生—护理学]