基于需要层次理论的康复护理对高血压脑出血患者神经功能及生存质量的影响  

The influence of rehabilitation nursing based on the theory of hierarchy of needs on the neurological function and quality of life of patients with hypertensive cerebral hemorrhage

作　　者：刘艳伟[1] 罗晓华[1] Liu Yanwei(The fifth affiliated hospital of Zhengzhou University,Zhengzhou,Henan,450052,China)

机构地区：[1]郑州大学第五附属医院,河南郑州450052

出　　处：《齐齐哈尔医学院学报》2021年第14期1269-1273,共5页Journal of Qiqihar Medical University

摘　　要：目的探讨基于需要层次理论的康复护理对高血压脑出血(HIH)患者神经功能及生存质量的影响。方法选取2018年8月—2020年11月本院收治的HIH患者90例为研究对象,采用随机数表法分为观察组和对照组两组,每组各45例。对照组采用传统护理干预方法,观察组采用基于需要层次理论的康复护理,两组均干预2周。比较两组干预前后神经功能缺损评分(NDS)、生活自理能力评分(FIM)、Barthel指数、美国国立卫生研究院卒中量表(NIHSS)评分、焦虑自评量表(SAS)、汉密顿抑郁量表(HAMD)及护理满意率。结果护理2周后观察组NISS评分、NDS评分、SAS评分及HAMD评分均低于对照组,差异具有统计学意义(P<0.05);护理2周后观察组FIM评分、Barthel指数及护理满意率均高于对照组,差异具有统计学意义(P<0.01)。结论基于需要层次理论的康复护理可改善HIH患者神经功能,提高生活活动能力。Objective To explore the effect of rehabilitation nursing based on the theory of hierarchy of needs on neurological function and quality of life of patients with hypertensive cerebral hemorrhage(HIH).Methods 90 cases with HIH those admitted to our hospital from August 2018 to November 2020 were enrolled in the study,and they were divided into observation group and control group according to random number table method,with 45 cases in each group.Traditional nursing intervention was used in the control group and rehabilitation nursing based on the theory of hierarchy of needs was used in the observation group.Both groups were intervened for 2 weeks.The neurological deficit score(NDS),life self-care ability score(functional independence measure)FIM,Barthel index,national institutes of health stroke scale(NIHSS)score,self-rating anxiety scale(SAS),Hamilton rating scale for depression(HAMD)and nursing satisfaction before and after the intervention were collected and analyzed.Results After 2 weeks of nursing,the scores of NISS,NDS,SAS and HAMD in the observation group were lower than those in the control group(P<0.01).After 2 weeks of nursing,FIM score,Barthel index and nursing satisfaction of the observation group were higher than those of the control group,the differences were statistically significant(P<0.01).Conclusions The rehabilitation nursing based on the theory of hierarchy of needs could improve the nerve function and the ability of living activities of patients with HIH.

关 键 词：高血压脑出血 结合需要层次理论 神经功能 生存质量 

分 类 号：R473[医药卫生—护理学]