Autar量表指导下早期护理干预对脑出血重度昏迷患者下肢DVT发生率的影响  

The effect of early nursing intervention under the guidance of Autar scale on the incidence of lower extremity DVT in patients with severe cerebral hemorrhage coma

作　　者：孟祥云 李红彦 郑俊霞 乔俊红 Meng Xiangyun;Li Hongyan;Zheng Junxia;Qiao Junhong(General Hospital of Zhengzhou Coal Group,Zhengzhou 452371,Henan,China)

机构地区：[1]郑州煤炭工业(集团)有限责任公司总医院,河南郑州452371

出　　处：《临床心身疾病杂志》2021年第6期161-163,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨深静脉血栓危险因素评估量表指导下的早期护理干预对脑出血重度昏迷患者下肢深静脉血栓发生率的影响。方法将98例脑出血重度昏迷患者按建档时间分为对照组(49例)、观察组(49例)。对照组给予常规治疗及护理干预,观察组在对照组基础上予以深静脉血栓危险因素评估量表指导下的早期护理干预。比较两组并发症发生率、干预前后格拉斯哥昏迷量表评分、美国国立卫生院卒中量表评分及家属护理工作满意度。结果观察组下肢深静脉血栓、肢体挛缩畸形发生率显著低于对照组(P<0.05或0.01)。干预后观察组格拉斯哥昏迷量表评分显著高于对照组(P<0.01),美国国立卫生院卒中量表评分显著低于对照组(P<0.01)。观察组总满意率显著高于对照组(P<0.01)。结论深静脉血栓危险因素评估量表指导下的早期护理干预能显著降低脑出血重度昏迷患者下肢深静脉血栓等并发症发生率,促进患者苏醒,减轻神经损伤,提高家属护理工作满意度。Objective To investigate the effect of early nursing intervention under the guidance of Autar scale on the incidence of deep venous thrombosis(DVT)in patients with severe cerebral hemorrhage coma.Methods A total of 98 patients with severe cerebral hemorrhage coma were divided into control group(49 cases)and observation group(49 cases)according to the filing time.The control group was given conventional treatment and nursing intervention,and the observation group was given early nursing intervention under the guidance of the Autar scale on the basis of the control group.The incidence of complications,the Glasgow coma scale(GCS)score before and after the intervention,the National Institute of Health stroke scale(NIHSS)score and the satisfaction of family nursing work were compared between the two groups.Results The incidence of DVT and limb contracture malformation in the observation group was significantly lower than that in the control group(P<0.05 oR0.01).After the intervention,the GCS score of the observation group was significantly higher than that of the control group(P<0.01),and the NIHSS score was significantly lower than that of the control group(P<0.01).The total satisfaction rate of the observation group was significantly higher than that of the control group(P<0.01).Conclusions Early nursing intervention under the guidance of Autar scale can significantly reduce the incidence of complications such as lower extremity DVT in patients with severe cerebral hemorrhage coma,promote the recovery of patients,reduce nerve injury,and improve the satisfaction of family nursing work.

关 键 词：脑出血 重度昏迷 深静脉血栓 早期护理干预 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R741.041[医药卫生—临床医学]