摘要
目的研究将优质护理应用在微创治疗高血压脑出血患者当中所发挥的围手术期护理作用。方法对2018年7月至2019年7月到我院治疗的82例高血压脑出血经微创手术方案治疗的患者随机分为观察组和对照组,平均为41例。分别对两组患者通过优质护理和常规护理方法实施护理指导,对不同护理之后两组患者的神志情况、神经功能、活动能力、心理状态、并发症发生率、生活质量、满意度等进行统计学对比和分析。结果①开展护理之前两组患者的意识、神经功能、生活能力之间无明显的统计学差异(P>0.05),护理开展后观察组的意识状况、神经功能和生活能力改善效果相比对照组更占优势(P<0.05)。②开展护理前两组患者的焦虑和抑郁心理之间不存在明显的统计学意义(P>0.05),开展护理后观察组的焦虑和抑郁心理缓解程度比对照组更占优势(P<0.05)。③护理后,观察组并发症发生率为7.32%(3/41),明显低于对照组[31.71%(13/41)](P<0.05)。④开展护理前两组患者在生活质量方面的差异不明显(P>0.05),开展护理后,观察组患者的生活质量相比对照组改善效果更好(P<0.05)。⑤护理后,观察组患者的整体满意度为95.12%(39/41),明显高于对照组[80.49%(33/41)](P<0.05)。结论微创手术方案治疗高血压脑出血在围手术期为患者配合优质护理可以促使意识清醒,纠正患者的神经功能和活动能力,使患者面临的负面情绪得到纠正,减少出现并发症的概率,同时生活质量和满意度得到全面提高。
Objective To study the perioperative nursing effect of applying high-quality nursing in minimally invasive treatment of patients with hypertensive cerebral hemorrhage.Methods Eighty-two patients with hypertensive cerebral hemorrhage who were treated in our hospital from July 2018 to July 2019 and were treated with minimally invasive surgery were randomly divided into the observation group and the control group,with an average of 41 cases.The two groups of patients were given nursing guidance through high-quality nursing and routine nursing methods,respectively,and the mental status,neurological function,activity ability,psychological state,complication rate,quality of life,satisfaction,etc.of the two groups of patients after different nursing were calculated respectively.Learn to compare and analyze.Results(1)There was no significant difference in consciousness,neurological function,and living ability between the two groups before nursing(P>0.05).After nursing,the observation group's consciousness,neurological function and living ability were improved the control group was more dominant(P<0.05).(2)There was no significant difference in anxiety and depression between the two groups before nursing(P>0.05),and the observation group after nursing The anxiety and depression psychological relief degree of the observation group was more dominant than that of the control group(P<0.05).(3)The level of patients in the group(13 cases,accounting for 31.71%)was lower(P<0.05).(4)The difference in the quality of life of the two groups of patients before nursing was not significant(P>0.05).After treatment,the quality of life of the patients in the observation group showed a more obvious change than the control group(P<0.05).(5)After nursing,the patients in the observation group(39 cases,accounting for 95.12%)had a statistically significant difference(P<0.05).The improvement effect of overall satisfaction was more significant than that of the control group(33 cases,accounting for 80.49%)(P<0.05).Conclusion After minimally invasiv
作者
杨坤
YANG Kun(Shenyang Fifth People's Hospital,Shenyang 110023,China)
出处
《中国医药指南》
2022年第22期21-24,共4页
Guide of China Medicine
关键词
高血压脑出血
优质护理
微创手术
生活质量
神经功能
Hypertensive intracerebral hemorrhage
High-quality nursing
Minimally invasive surgery
Quality of life
Neurological function