Snyder希望理论下前移式护理方案在危重症脑出血患者中的应用效果  

Application effect of forward moving nursing plan based on Snyder hope theory in critical patients with cerebral hemorrhage

作　　者：方燕 支媛 郭茜[3] 李秀华 FANG Yan;ZHI Yuan;GUO Qian;LI Xiuhua(Pain Rehabilitation Clinic,Brain Hospital,Liaocheng People′s Hospital,Liaocheng Shandong 252000,China)

机构地区：[1]聊城市人民医院脑科医院疼痛康复门诊,山东聊城252000 [2]聊城市人民医院脑科医院急诊科,山东聊城252000 [3]聊城市人民医院脑科医院CT室,山东聊城252000 [4]聊城市人民医院脑科医院呼吸内科,山东聊城252000

出　　处：《中国急救复苏与灾害医学杂志》2024年第7期939-943,共5页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的 探讨Snyder希望理论下前移式护理方案在危重症脑出血患者中的应用效果。方法 选择2021年1月—2022年8月聊城市人民医院收治的80例危重症脑出血患者,根据随机信封法将其分为对照组(40例)和观察组(40例)。对照组采用常规护理方案,观察组在对照组基础上采用Snyder希望理论下前移式护理方案。比较两组护理效果、再出血情况、神经损伤程度、生活质量、心理状态和护理满意度。结果 观察组护理总有效率高于对照组(95.00%vs.85.00%),再出血率低于对照组(0 vs.7.50%),差异有统计学意义(P<0.05)。干预后,两组意识水平、凝视、视野、面瘫、上下肢运动、共济失调、感觉评分及美国国立卫生研究院卒中量表总分均低于干预前,且观察组低于对照组,差异有统计学意义(t=5.453、11.393、19.039、7.383、16.248、9.993、28.399、8.693,P<0.05)。干预后,两组定向、记忆力、即刻回忆力、注意计算力、语言能力评分及简易智能精神检查量表总分均高于干预前,且观察组高于对照组,差异有统计学意义(t=10.278、6.817、6.223、6.040、5.420、8.485,P<0.05)。干预后,两组行动能力、力量、交流、生活能力、社会能力评分均高于干预前,且观察组高于对照组,差异有统计学意义(t=4.784、14.700、14.281、4.069、6.556,P<0.05)。干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(t=11.479、12.575,P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(χ^(2)=4.476,P<0.05)。结论 Snyder希望理论下前移式护理方案可有效改善危重症脑出血患者的护理质量、生活质量和心理状态,提高护理满意度,促进神经功能恢复。Objective To explore the application effect of forward moving nursing plan based on Snyder hope theory in critical patients with cerebral hemorrhage.Methods Eighty critical patients with cerebral hemorrhage admitted to Liaocheng People's Hospital from January 2021 to August 2022 were selected,and they were divided into control group(40 cases) and observation group(40 cases) according to the random envelope method.The routine nursing plan was applied in control group,while for ward moving nursing plan based on Snyder hope theory was applied in observation group on the basis of control group.The nursing effect,the rebleeding status,degree of nerve injury,quality of life,psychological status and nursing satisfaction between the two groups were compared.Results Total effective rate(95.00vs.85.00%) of nursing in observation group was higher than that in control group,and the rebleeding rate(0 vs.7.50%)in observation group was lower than that in control group,the differences were statistically significant(P<0.05).After intervention,the scores of consciousness level,gaze,visual field,facial paralysis,upper and lower limb movements,ataxia and sensory,and the total score of National Institutes of Health stroke scale in two groups were lower than those before intervention,and observation group was lower than that control group,the differences were statistically significant(t=5.453、11.393、19.039、7.383、16.248、9.993、28.399、8.693,P<0.05).After intervention,the scores of orientation,memory,immediate recall,attention calculation and language proficiency,and the total score of minimental state examination in two groups were higher than those before intervention,and observation group was higher than that control group,the differences were statistically significant(t=10.278、6.817、6.223、6.040、5.420、8.485,P<0.05).After intervention,the scores of action ability,strength,communication ability,life ability and social ability in two groups were higher than those before intervention,and observation group was higher

关 键 词：Snyder希望理论 前移式护理方案 危重症脑出血 护理质量 

分 类 号：R473.74[医药卫生—护理学]