摘要
目的研究综合性护理干预对高血压脑出血患者促醒效果和生存质量的影响。方法选取我科收治的高血压脑出血患者84例,按照随机数字表将患者分为综合护理组(n=42)和常规护理组(n=42),分别予以综合护理和常规护理,所有患者均给予内科常规治疗,包括降低颅内压、控制血压、药物止血、营养对症支持等。护理时间为4周,观察治疗前后2组的促醒效果、并发症和生存质量的改变。结果护理4周后,2组GCS评分均较治疗前明显增高(P<0.01),且综合护理组升高值显著高于常规护理组(P<0.01);综合护理组并发症总发生率明显低于常规护理组(χ2=4.61,P=0.032);2组护理后生存质量得分均高于治疗前(P<0.01),且综合护理组得分显著高于常规护理组(P<0.01)。结论综合性护理干预对高血压脑出血患者具有促醒作用,减少或降低并发症的发生率,改善生存质量,效果确切,值得临床推广。
Objective To investigate effects of comprehensive nursing intervention on promoting revival and life quality in patients with hypertensive cerebral hemorrhage. Methods According to random number table, 8/1 cases with hypertensive cere- bral hemorrhage were divided into the comprehensive nursing intervention group （n= 42） and routine nursing group （n= 42）, and both of the two groups were treated with routine medical treatment, such as controlling intraeranial pressure and blood pressure, hemostasis, nutrition support treatment for 4 weeks. The effect of awaking up, complication incidence and life qual- ity of patients in two groups before and after nursing were observed. Results After 4 week intervention, GCS scores of two groups obviously increased much more than that before nursing （P〈0.01）, and comprehensive nursing intervention group showed higher scores compared with routine nursing group （P〈0. 01）. The total complication incidence in comprehensive nursing intervention group was significantly lower than that in routine nursing group （x2 =4.61 ,P=0. 032）. Meanwhile, after nursing, the WHOQOL BREF sores of patients in two groups were obviously elevated than those before nursing （P〈 0.01）, especially in comprehensive nursing intervention group which had much higher scores than routine nursing group （P〈 0.01）. Conclusion Comprehensive nursing intervention can significantly raise the GCS scores, can promote revival, and can avoid or reduce the occurrence of complication during the medical treatment and can enhance the life quality in patients with hypertensive cerebral hemorrhage.Its clinical application should be took into consideration.
出处
《中国实用神经疾病杂志》
2016年第8期133-134,共2页
Chinese Journal of Practical Nervous Diseases
关键词
高血压脑出血
综合性护理
GCS评分
生存质量
Hypertensive cerebral hemorrhage
Comprehensive nursing
GCS score
Life quality
