程序化护理联合认知行为干预对脑出血患者护理效果及对其神经功能的影响  

Analysis of the effect of programmed nursing combined with cognitive behavior intervention on nursing effect and neurological function of patients with intracerebral hemorrhage

作　　者：遆燕燕[1] 韩国辉[1] TI Yanyan;HAN Guohui(Department of Neurosurgery,Second People's Hospital of Jiaozuo,Jiaozuo 454000,China)

机构地区：[1]焦作市第二人民医院神经外科,焦作454000

出　　处：《国际精神病学杂志》2023年第5期1208-1211,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200823)。

摘　　要：目的探讨程序化护理联合认知行为干预对脑出血患者护理效果及神经功能的影响。方法2020年6月~2023年3月收治的脑出血患者共96例,根据护理方法分为观察组48例,对照组48例,比较护理前后两组患者的认知功能、神经功能以及生活质量。结果护理后,两组运动功能量表和巴塞尔指数均升高,观察组得分均高于对照组(P<0.05)。护理后美国国立卫生研究院卒中量表评分下降,格拉斯哥预后评分升高,两组间比较差异有统计学意义(P<0.05)。护理后,观察组总有效率(91.7%)显著高于对照组(77.1%),差异有统计学意义(P<0.05)。护理后,观察组得分高于对照组(P<0.05)。结论程序化护理结合认知行为干预可以提高脑出血患者的临床疗效,改善其肢体运动能力,减少神经功能缺损。Objective To explore the effect of programmed nursing combined with cognitive behavior intervention on nursing effect and neurological function of patients with cerebral hemorrhage.Methods A total of 96 patients with Intracerebral Hemorrhage were divided into observation group(n=48)and control group(n=48).The cognitive function,neurological function and quality of life of the two groups were compared before and after nursing.Results After nursing,the Fugl-Meyer evaluation scale and Barthel index increased in both groups,and the scores in the observation group were higher than those in the control group.After nursing,the National Institute of Health stroke scale score decreased and the Glasgow Coma Scale score increased,and there was significant difference between the two groups.After nursing,the total effective rate of the observation group(91.7%)was significantly higher than that of the control group(77.1%),and the difference was statistically significant(P<0.05).After nursing,the score of the observation group was higher than that of the control group(P<0.05).Conclusion Programmed nursing combined with cognitive behavior intervention can improve the clinical curative effect of Intracerebral Hemorrhage patients,improve their limb motor ability and reduce neurological impairment.

关 键 词：程序化护理 认知行为 脑出血 神经功能 

分 类 号：R749.99[医药卫生—神经病学与精神病学]