出血性脑卒中术后病人失能发生风险及其与发生情况的相关性  

Correlation of risk and occurrence of disability in patients after hemorrhagic stroke

作　　者：陈兴桂 柳国晶 陈俏洁 CHEN Xinggui;LIU Guojing;CHEN Qiaojie(Hainan Hospital of Guangdong Hospital of Traditional Chinese Medicine,Hainan 570203 China)

机构地区：[1]广东省中医院海南医院,海南570203

出　　处：《护理研究》2025年第5期827-832,共6页Chinese Nursing Research

摘　　要：目的:分析出血性脑卒中病人术后失能发生风险及发生情况的关系。方法:选取2019年1月—2022年12月我院收治的236例行出血性脑卒中术病人,采用一般资料调查表、Tilburg量表等进行调查。结果:236例病人中,失能高风险138例(58.47%),失能低风险病人98例(41.53%)。138例失能高风险病人中,失能102例(73.91%),未失能36例(26.09%);98例失能低风险病人中,失能32例(32.65%),未失能66例(67.35%)。失能高风险失能病人年龄、失能程度、康复疗程、神经功能缺损评分(NIHSS)、焦虑和抑郁评分高于失能低风险失能病人(P<0.05),康复治疗开始介入时间早于失能低风险失能病人(P<0.05),社会支持、营养情况低于失能低风险失能病人(P<0.05)。结论:出血性脑卒中术后病人失能风险程度与失能发生情况存在中等关联,临床可根据风险程度筛查对病人进行分级管理,改善病人预后。Objective:To analyze the relationship between the risk and occurrence of disability among patients after hemorrhagic stroke surgery.Methods:A total of 236 patients who underwent hemorrhagic stroke surgery in our hospital from January 2019 to December 2022 were selected and surveyed using a general information questionnaire,the Tilburg Scale,et al.Results:Among the 236 patients,138(58.47%)were at high risk of disability and 98(41.53%)were at low risk.Among the 138 high⁃risk patients,102(73.91%)developed disability and 36(26.09%)did not.Among the 98 low⁃risk patients,32(32.65%)developed disability and 66(67.35%)did not.High⁃risk disabled patients were older,had higher disability levels and clinical outcome severity,longer rehabilitation courses,higher NIHSS,SAS,and SDS scores,earlier initiation of rehabilitation interventions,and lower social support and nutritional status compared with low⁃risk disabled patients(P<0.05).Conclusion:There is a moderate correlation between the degree of disability risk and the occurrence of disability among patients after hemorrhagic stroke surgery.Clinicians can use risk levels to screen and manage patients hierarchically to improve their prognosis.

关 键 词：出血性脑卒中 失能 风险 影响因素 调查研究 

分 类 号：R473.6[医药卫生—护理学]