神经重症动脉瘤性蛛网膜下腔出血术后病人早期分级活动方案的构建及应用  

Construction and application of early grading activity program for patients with neurological severe aneurysmal subarachnoid hemorrhage after operation

作　　者：邹宗颖 厉春林[1] 余小燕 董治兵 王倩云 ZOU Zongying;LI Chunlin;YU Xiaoyan;DONG Zhibing;WANG Qianyun(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430030 China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北430030

出　　处：《护理研究》2025年第4期565-570,共6页Chinese Nursing Research

摘　　要：目的:构建神经重症动脉瘤性蛛网膜下腔出血术后病人早期方案并验证其临床效果。方法:选取2021年6月—2022年6月武汉市某三级甲等医院神经外科监护室收治的100例动脉瘤性蛛网膜下腔出血病人作为对照组,给予动脉瘤性蛛网膜下腔出血术后常规护理。选取2022年10月—2023年10月收治的106例动脉瘤性蛛网膜下腔出血病人作为干预组,实施基于循证方法制定的蛛网膜下腔出血病人术后早期活动分级、评估与运动方案。比较两组病人深静脉血栓发生率、机械通气时长、出院时日常生活能力评分及住院时间。结果:干预组病人深静脉血栓发生率、机械通气时长、出院时日常生活能力评分、住院时间均优于对照组(P<0.05),且早期分级活动方案实施过程中未发生不良事件。结论:神经重症动脉瘤性蛛网膜下腔出血术后病人早期分级活动方案是可行的,能够有效促进神经重症动脉瘤性蛛网膜下腔出血术后病人的恢复。Objective:To establish the early grading activity program for patients with neurological severe aneurysmal subarachnoid hemorrhage after operation,and to verify its clinical effect.Methods:A total of 100 patients admitted to the neurosurgical care unit of a tertiary grade A hospital in Wuhan city from June 2021 to June 2022 were selected as the control group.Patients in control group received routine nursing after operation.A total of 106 patients treated from October 2022 to October 2023 were selected as the intervention group.In the intervention group,the early postoperative activity grading,evaluation and exercise program of patients with subarachnoid hemorrhage were developed based on evidence-based methods.The incidence rate of deep vein thrombosis,length of mechanical ventilation,score of daily living ability at discharge and length of stay were compared between the two groups.Results:The incidence rate of deep vein thrombosis,mechanical ventilation duration,daily living ability score at discharge and length of hospital stay of patients in the intervention group were better than those in the control group(P<0.05),and no adverse events occurred during the implementation of the early grading program.Conclusions:The early grading activity program for patients with neurological severe aneurysmal subarachnoid hemorrhage after operation was feasible,and it could effectively promote the recovery of patients with neurological severe subarachnoid hemorrhage after operation.

关 键 词：动脉瘤性蛛网膜下腔出血 早期活动 应用效果 护理 

分 类 号：R473.6[医药卫生—护理学]