Snyder希望理论护理干预对急性高血压性脑出血患者神经功能的影响  

Effect of Snyder's Hope Theory Nursing Intervention on Neurological Function in Patients with Acute Hypertensive Intracerebral Hemorrhage

作　　者：何小青 HE Xiaoqing(Neurosurgery,Fujian Provincial Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建省立医院神经外科,福建福州350000

出　　处：《中外医疗》2022年第13期136-139,144,共5页China & Foreign Medical Treatment

摘　　要：目的 研讨对急性高血压性脑出血患者实施Snyder希望理论的护理干预效果。方法 方便抽取2019年6月—2020年8月该院(控制室内温湿度、打扫卫生、播放舒缓音乐、强化沟通工作、遵医嘱静脉补液)急性高血压性脑出血患者56例纳入研究,电脑随机分组,对照组(n=)行常规护理,观察组(n=29)给予Snyder希望理论护理干预。观察两组救治用时、护理前后神经功能、预后情况以及生命质量。结果 观察组分诊评估时间(0.56±0.12)min,静脉用药时间(3.23±1.23)min,急救总时间(25.23±5.23)min,住院时间(10.23±2.56)d,各指标用时明显比对照组低,差异有统计学意义(t=18.729、15.806、8.467、6.109,P<0.05)。经护理后观察组患者NIHSS评分(10.20±0.23)分较低,GCS评分(13.23±2.22)分较高,差异有统计学意义(t=51.944、6.167,P<0.05)。观察组生理机能(80.23±3.36)分,情感职能(77.85±3.56)分,社会功能(82.36±3.31)分,躯体疼痛(65.23±3.33)分,精神健康(72.52±2.52)分,精力(66.56±2.56)分,生理职能(75.25±2.12)分,总体健康(85.23±2.33)分,各指标分值较对照组高,生命质量较高,差异有统计学意义(t=10.181、15.544、14.415、17.817、19.212、18.147、12.500、14.145,P<0.05)。结论 对急性高血压性脑出血患者实施Snyder希望理论的护理干预效果显著,可提高治疗效果并改善患者神经功能。Objective To study the nursing intervention effect of Snyder's theory of hope in patients with acute hypertensive intracerebral hemorrhage.Methods From June 2019 to August 2020,56 patients with acute hypertensive intracerebral hemorrhage in the hospital were conveniently selected for inclusion in the study.Computer random grouping,the control group(n=27)received routine nursing,and the observation group(n=29)were given Snyder Hope theory nursing intervention.The treatment time,neurological function before and after nursing,prognosis and quality of life of two groups were observed.Results In the observation group,the time for triage assessment was(0.56±0.12)min,the time for intravenous medication was(3.23±1.23)min,the total emergency time was(25.23±5.23)min,and the hospital stay was(10.23±2.56)d,the time of each index was significantly lower than that of the control group,the difference was statistically significant(t=18.729,15.806,8.467,6.109,P<0.05).After nursing,the NIHSS score(10.20±0.23)points of the observation group was lower,and the GCS score(13.23±2.22)points was higher,the difference was statistically significant(t=51.944,6.167,P<0.05).In the observation group that received Snyder's hope theory nursing intervention,the patients'physiological function was(80.23±3.36)points,the emotional function was(77.85±3.56)points,the social function was(82.36±3.31)points,the somatic pain was(65.23±3.33)points,the mental health was(72.52±2.52)points,the energy was(66.56±2.56)points,the physiological function was(75.25±2.12)points,the overall health was(85.23±2.33)points,the scores of each index were higher than those of the control group,and the quality of life was higher,the difference was statistically significant(t=10.181,15.544,14.415, 17.817, 19.212, 18.147, 12.500, 14.145, P<0.05). Conclusion The nursing intervention of Snyder's theory of hope for patients with acute hypertensive intracerebral hemorrhage has a significant effect, which can improve the treatment effect and improve the neurological fu

关 键 词：高血压性脑出血 急性发作 Snyder希望理论 治疗效果 神经功能 

分 类 号：R47[医药卫生—护理学]