医护患协同模式下的精细化护理在脑出血手术患者中的应用效果  

Application effects of refined nursing under doctor-nurse-patient collaborative mode in patients with cerebral hemorrhage surgery

作　　者：冀芳芳[1] JI Fangfang(ICU of Zhengzhou No.1 People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第一人民医院重症医学科,河南郑州450000

出　　处：《中国民康医学》2025年第8期163-165,169,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察医护患协同模式下的精细化护理在脑出血手术患者中的应用效果。方法:选取2020年4月至2023年4月于该院拟行手术治疗的86例脑出血患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各43例。对照组实施常规护理,观察组在对照组基础上实施医护患协同模式下的精细化护理,两组均护理至出院。比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、日常生活活动能力[日常生活活动能力量表(ADL)]、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,并发症发生率,以及护理满意度。结果:护理后,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组ADL、GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.35%(41/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论:医护患协同模式下的精细化护理应用于脑出血手术患者可降低负性情绪评分和并发症发生率,提高日常生活活动能力、生命质量评分和护理满意度,效果优于单纯常规护理。Objective:To observe application effects of refined nursing under the doctor-nurse-patient collaborative mode in patients with cerebral hemorrhage surgery.Methods:A prospective study was conducted on 86 patients with cerebral hemorrhage who were scheduled for surgical treatment in this hospital from April 2020 to April 2023.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group was given routine nursing,while the observation group was given the refined nursing under the doctor-nurse-patient collaborative mode on the basis of that of the control group.Both groups were treated until discharge.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],activities of daily living[activities of daily living scale(ADL)]and quality of life[general quality of life inventory-74(GQOLI-74)]before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of HAMA and HAMD in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ADL and GQOLI-74 scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.35%(41/43),which was higher than 81.40%(35/43)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The refined nursing under the doctor-nurse-patient collaborative model in the patients with cerebral hemorrhage surgery can reduce the negative emotion scores and the incid

关 键 词：医护患协同模式 精细化护理 脑出血 手术 日常生活活动能力 生命质量 负性情绪 

分 类 号：R473.6[医药卫生—护理学]