基于危害分析及关键控制点原则的集束化护理在高血压脑出血患者中的应用  

Application of cluster nursing based on hazard analysis and critical control point principle in patients with hypertensive cerebral hemorrhage

作　　者：秦岚[1] 张燕 刘蕊 李翠芳 QIN Lan;ZHANG Yan;LIU Rui;LI Cuifang(Department of Emergency,Beijing Friendship Hospital,Capital Medical University,Beijing 101125,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京101125

出　　处：《临床与病理杂志》2023年第2期388-393,共6页Journal of Clinical and Pathological Research

基　　金：2017年度北京友谊医院护理专项基金(yyqdkt2017-h124)。

摘　　要：目的:观察基于危害分析及关键控制点(hazard analysis and critical control point,HACCP)原则的集束化护理在高血压脑出血患者中的应用效果。方法:选取2019年3月至2021年10月于首都医科大学附属北京友谊医院诊治的132例高血压脑出血患者为研究对象。按照随机数字表法,分为研究组与对照组,每组66例。对照组给予常规护理,研究组给予基于HACCP原则的集束化护理。出院前,比较2组护理前后舒张压、收缩压、Fugl-Meyer运动功能评定量表(Fugl-Meyer Assessment Scale,FMAS)评分及并发症发生率。结果:护理前,2组患者的舒张压、收缩压相比,差异均无统计学意义(均P>0.05);护理后,2组患者的舒张压、收缩压明显降低,且研究组明显低于对照组,差异均有统计学意义(均P<0.05)。护理前,2组患者的FMAS评分相比,差异无统计学意义(P>0.05);护理后,2组FMAS评分明显升高,且研究组明显高于对照组,差异有统计学意义(P<0.05)。研究组患者的并发症发生率为12.12%,明显低于对照组的31.82%,差异有统计学意义(P<0.05)。结论:基于HACCP原则的集束化护理应用于高血压脑出血患者中可有效改善血压状况及运动功能,同时能降低并发症发生率,值得应用推广。Objective:To observe the application effect of cluster nursing based on hazard analysis critical control point(HACCP)principle in patients with hypertensive cerebral hemorrhage.Methods:A total of 132 patients with hypertensive cerebral hemorrhage who were diagnosed and treated in Beijing Friendship Hospital,Capital Medical University from March 2019 to October 2021 were selected as the research objects.According to the random number table method,they were divided into a study group and a control group,with 66 cases in each group.The control group was given routine care,and the study group was given bundled care based on HACCP principles.Before discharge,the diastolic blood pressure,systolic blood pressure,Fugl-Meyer Motor Function Assessment Scale(FMAS)score,and the incidence of complications were compared between the 2 groups before and after nursing.Results:Before nursing,there were no significant difference in diastolic and systolic blood pressure between the 2 groups(both P>0.05);after nursing,the diastolic blood pressure and systolic blood pressure in the 2 groups of patients were significantly lower,with the study group were significantly lower than the control group(both P<0.05).Before nursing,there was no significant difference in the FMAS scores between the 2 groups(P>0.05);after nursing,the FMAS scores in the 2 groups were significantly higher,and the study group was significantly higher than the control group(P<0.05);the incidence of complications in the study group was 12.12%,significantly lower than the control group(31.82%),the difference was statistically significant(P<0.05).Conclusion:The application of cluster nursing based on HACCP principle in patients with hypertensive cerebral hemorrhage can effectively improve blood pressure status and motor function,and at the same time reduce the incidence of complications,which is worthy of application and promotion.

关 键 词：高血压脑出血 危害分析及关键控制点 集束化护理 并发症 运动功能 血压状况 

分 类 号：R473.74[医药卫生—护理学]