综合干预措施对脑出血患者心理状态与术后下肢深静脉血栓的防治效果  

Prevention and treatment effect of comprehensive intervention on mental state and postoperative lower extremity deep vein thrombosis in patients with cerebral hemorrhage

作　　者：陈瑜[1] 余洁 朱丽萍[1] 李谦益 Chen Yu;Yu Jie;Zhu Liping;Li Qianyi(Department of Emergency,Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 201821,China;Department of Surgery,Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 201821,China)

机构地区：[1]上海交通大学医学院附属瑞金医院急诊科,上海201821 [2]上海交通大学医学院附属瑞金医院外科,上海201821

出　　处：《血管与腔内血管外科杂志》2022年第7期866-871,共6页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨综合干预措施对脑出血患者心理状态与术后下肢深静脉血栓(DVT)的防治效果。方法收集2018年1月至2021年6月上海交通大学医学院附属瑞金医院收治的60例脑出血患者的临床资料,根据干预措施的不同将其分为观察组(给予综合干预措施)和对照组(给予常规干预措施),每组30例。比较两组患者的心理状态[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分]、用药依从性、神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、运动功能[简式Fugl-Meyer运动功能评分量表(FMA)评分]、生活质量[36条目健康调查简表(SF-36)评分]、患者满意度、感染情况及非感染性并发症的发生情况。结果干预后,观察组患者的HAMA、HAMD评分均明显低于对照组患者(P<0.01)。干预后,观察组患者的用药依从率高于对照组患者(P<0.05)。干预后,观察组患者的FMA评分明显高于对照组患者,NIHSS评分明显低于对照组患者(P<0.01)。干预后,观察组患者SF-36中各维度的评分均高于对照组患者(P<0.05)。干预后,观察组患者的服务态度、服务内容和人员素质评分及总分均明显高于对照组患者(P<0.01)。干预后,观察组患者的感染率、非感染性并发症的发生率均低于对照组患者(P<0.05)。结论综合干预措施可改善脑出血患者的心理状态、神经功能和运动功能,提高用药依从性、生活质量和患者满意度,并降低感染和非感染性并发症的发生率,值得进一步推广。Objective To investigate the prevention and treatment effect of comprehensive intervention on mental state and postoperative lower extremity deep vein thrombosis(DVT)in patients with cerebral hemorrhage.Method The clinical data of 60 patients with cerebral hemorrhage admitted to Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University from January 2018 to June 2021 were collected,and the patients were divided into control group(n=30,given routine intervention)and observation group(n=30,given comprehensive intervention)according to different nursing methods.Mental state[Hamilton anxiety scale(HAMA)scores,Hamilton depression scale(HAMD)scores],medication compliance,neurological function[National Institutes of Health stroke scale(NIHSS)scores],motor function[Fugl-Meyer assessment(FMA)scores],quality of life[the medical outcomes study 36-item short from health survey(SF-36)scores],patient satisfaction,infection and the incidence of non-infectious complications were compared between the two groups.Result After intervention,HAMA and HAMD scores in the observation group were significantly lower than those in the control group,FMA scores significantly higher and NIHSS scores significantly lower than those of control group(P<0.01);medication compliance higher than that of control group,dimensional scores of SF-36 higher than those of control group(P<0.05);scores of service attitude,service content,staff quality and total scores by patients significantly higher than those in the control group(P<0.01),and the infection and non-infectious complications lower than those in control group(P<0.05).Conclusion Comprehensive intervention can improve the mental state,neurological and motor function of patients with cerebral hemorrhage,improve medication compliance,quality of life and satisfaction,and reduce the incidence of infection and non-infectious complications,which is worthy of promotion.

关 键 词：脑出血 综合干预措施 心理状态 神经功能 运动功能 深静脉血栓 

分 类 号：R543[医药卫生—心血管疾病]