综合性护理干预促进高血压脑出血患者康复的效果(1)

http://www.100md.com 2018年3月25日 《中国当代医药》 2018年第9期

     [摘要]目的 通过对比患者的不同临床表现，探讨综合性护理干预在提高高血压脑出血患者康复中的效果。方法 选取2016年7月～2017年9月在我院接受治疗的高血压脑出血患者124例作为本次的研究对象，采用随机数字表法将其分为对照组、观察组，每组62例。其中对照组患者进行常规护理，观察组患者进行综合性护理干预，观察记录两组患者的相关临床数据，包括生活质量(QLI)、自理能力(FIM)评分以及并发症的发生情况等内容。结果 两组患者护理前的QLI和FIM评分比较，差异无统计学意义(P>0.05)；两组患者护理后的QLI和FIM评分均显著高于护理前，差异均有统计学意义(P<0.05)；观察组护理后的QLI和FIM评分高于对照组，差异有统计学意义(P<0.05)；观察组护理后的并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论 综合性护理干预在提高高血压脑出血患者康复中的效果显著，可有效增强患者的自理能力和促进患者恢复，在提升患者生活质量和降低并发症发生率等方面均表现出显著优势，因而可在临床上进行推广应用。

    [关键词]综合性护理；高血压脑出血；术后康复；护理效果

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2018)3(c)-0195-03

    [Abstract]Objective To investigate the rehabilitation effect of comprehensive nursing intervention in patients with hypertensive cerebral hemorrhage by comparing their different clinical manifestations.Methods A total of 124 hypertensive cerebral hemorrhage patients treated in our hospital from July 2016 to September 2017 were selected as the research objects，and randomly divided into control group and observation group，with 62 cases in each group.Patients in the control group received routine nursing，patients in the observation group received comprehensive nursing intervention，and the related clinical data of patients in the two groups were observed and recorded，including quality of life (QLI)，self-care ability (FIM) score and complications.Results QLI and FIM scores before nursing were compared between the two groups，the differences were not statistically significant (P>0.05)；QLI and FIM scores were significantly higher in the two groups after nursing than before nursing，the differences were statistically significant (P<0.05).QLI and FIM scores in the observation group were significantly higher than those in the control group，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).Conclusion The comprehensive nursing intervention can significantly improve the rehabilitation effect in patients with hypertensive intracerebral hemorrhage.It can effectively enhance the patients′ self-care ability and promote the recovery of patients，and has remarkable advantages in improving the QLI and reducing the incidence of complications，which is worthy of promotion and application in clinic.

    [Key words]Comprehensive nursing；Hypertensive intracerebral hemorrhage；Postoperative rehabilitation；Nursing effect

    高血壓脑出血是一种常见的老年疾病，发病率、并发症发生率和致死率都较高，随着当前老龄化人口的不断增加，高血压脑出血的发病率也随之呈现出增长趋势，该病症起病急、发展快，患者常出现肢体功能和意识障碍，生活质量和生命安全都受到严重威胁[1]。由于高血压脑出血多发于老年人群，情绪和身体素质都相对地不够稳定，高血压脑出血需要手术治疗，对于身体的伤害较大，且术后常伴有并发症的发生，病情反复不定，导致患者常产生焦虑、抑郁、烦躁等负性情绪[2]，身体的痛苦加上精神的压力使得患者的治疗和护理依从性受到严重影响，十分不利于患者的预后以及生活质量的提升。有研究表明，在高血压脑出血患者的治疗过程中应用综合性护理干预可有效改善患者症状和降低术后并发症的发生率，同时患者经综合性护理干预后心情也得到很好放松，治疗和护理依从性也因此提高，对于促进患者恢复和增强患者自理能力均有积极意义，可形成良性循环[3]。本次研究通过对比患者的不同临床表现，探讨综合性护理干预在提高高血压脑出血患者术后康复中的效果，现报道如下。(李燕佳)

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