摘要
目的 :探讨护理干预对脑出血手术患者的效果。方法 :收集2015年10月至2017年3月行手术治疗的脑出血患者122例,分为对照组和观察组各61例,对照组接受常规护理,观察组接受护理干预,观察两组下肢深静脉血栓发生率、凝血指标(凝血酶时间、凝血酶原时间、纤维蛋白原和活化部分凝血活酶时间)、生活能力(生活自理、转移、交流、行走、社会认知)评分。结果 :观察组下肢深静脉血栓发生率为3.28%(2/61),低于对照组的19.67%(12/61),组间差异有统计学意义(χ~2=8.069,P=0.005)。在生活能力方面,观察组各项评分均显著高于对照组(P均<0.05)。两组凝血指标比较差异无统计学意义(P均>0.05)。结论 :在脑出血手术患者的护理过程中,护理干预能显著降低下肢深静脉血栓的发生风险,提高患者的生活能力,同时不会影响凝血指标,值得推广应用。
Objective:To explore the effect of nursing intervention on patients with cerebral hemorrhage operation.Methods:From October2015to March2017122cases of cerebral hemorrhage treated with surgical treatment were collected and divided into a control group and an observation group with61cases in each group,the control group received routine care,and the observation group received nursing intervention.The incidence of deep venous thrombosis,coagulation index(thrombin time,prothrombin time,fibrinogen and activated partial thromboplastin time),ability of daily life scores(self-care,transfer,exchange,walking and social cognition)of the two groups were observed.Results:The incidence of deep venous thrombosis in the observation group was3.28%(2/61),which was lower than that in the control group(19.67%(12/61)),and the difference between the two groups was statistically significant(χ2=8.069,P=0.005).In terms of living ability,the scores of the observation group were significantly higher than those of the control group(P<0.05).There was no significant difference in blood coagulation index between the two groups(P>0.05).Conclusion:Nursing intervention can significantly reduce the risk of deep venous thrombosis of the lower extremity during the nursing process of patients with cerebral hemorrhage operation,improve the living ability of the patients without affecting the coagulation index,and it is worthy of popularization and application.
作者
刘会玲
马立秋
龚娇
LIU huiling;MA Liqiu;GONG Jiao(Department of Urology of People’s Hospital of Gaoan, Gaoan 330800, Jiangxi Province, China)
出处
《上海医药》
CAS
2018年第6期30-32,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
脑出血
手术治疗
护理干预
生活能力
护理效果
cerebral hemorrhage
surgical treatment
nursing intervention
living ability
nursing effect
