快速康复外科护理在微创颅内血肿穿刺引流术治疗的高血压脑出血患者中的应用效果  

Application effect of rapid rehabilitation surgical nursing in patients with hypertensive cerebral hemorrhage treated by minimally invasive intracranial hematoma puncture and drainage

作　　者：蒋霞[1] 周丽凤 段丽娜[1] 曾晓璐 JIANG Xia;ZHOU Lifeng;DUAN Lina;ZENG Xiaolu(Department of Critical Medicine,the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan Province,Changsha 410000,China)

机构地区：[1]湖南中医药大学第二附属医院重症医学科,湖南长沙410000

出　　处：《中国医药导报》2022年第16期183-186,共4页China Medical Herald

摘　　要：目的探究高血压脑出血患者微创术后应用快速康复外科护理的干预效果。方法将湖南中医药大学第二附属医院2020年1月至2021年6月收治的110例行微创颅内血肿穿刺引流术治疗的高血压脑出血患者,采用随机数字表法分为观察组(55例)和对照组(55例)。对照组接受常规护理,观察组再接受快速康复外科护理。比较两组自护能力、临床疗效、护理满意率、并发症发生率、日常活动能力、意识障碍状况。结果干预后,两组自我概念、自护责任感、自我护理机能、健康知识水平得分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,观察组护理总有效率高于对照组,差异有统计学意义(P<0.05)。观察组护理满意率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组改良Barthel指数量表和Glasgow昏迷量表评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论对微创颅内血肿穿刺引流术治疗的高血压脑出血患者应用快速康复外科护理,术后恢复快,并发症少,值得临床推广。Objective To explore the intervention effect of fast rehabilitation surgical nursing after minimally invasive surgery in patients with hypertensive cerebral hemorrhage.Methods A total of 110 patients with hypertensive cerebral hemorrhage treated by minimally invasive intracranial hematoma puncture and drainage who were admitted to the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine from January 2020 to June 2021 were divided into observation group(55 cases)and control group(55 cases)by random number table method.The control group received routine nursing,while the observation group received rapid rehabilitation surgical nursing.The self-care ability,clinical efficacy,nursing satisfaction rate,complication rate,daily activity ability,and disturbance of consciousness were compared between the two groups.Results After the intervention,the scores of self-concept,self-care responsibility,self-care function,and health knowledge in the two groups were higher than those before the intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the total efficacy rate of the nursing observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of the modified Barthel index and Glasgow coma scale in the two groups were higher than those before the intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Rapid rehabilitation surgical nursing is applied to patients with hypertensive cerebral hemorrhage treated by min

关 键 词：快速康复外科 高血压 脑出血 满意度 

分 类 号：R47[医药卫生—护理学]