综合护理干预对高血压脑出血患者心理状态和生活质量的疗效观察

Effect of comprehensive nursing intervention on the mental state and quality of life of the patients with hypertensive cerebral hemorrhage

目的探究综合护理干预对高血压脑出血患者心理状态和生活质量的影响。方法选择本院2016年2月～2017年2月医院收治的高血压脑出血患者136例,按照随机对照的原则将其分为干预组和对照组,对照组给予常规护理,干预组采用综合护理干预。使用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的精神状态进行评价,使用生活质量指数评分评价患者生活质量(QOL),采用调查问卷的方式计算患者护理满意度。结果护理前,两组患者SDS和SAS、QOL评分无差别(P>0.05);护理后,两组患者QOL均有提高,干预组患者QOL评分高于对照组,差异具有统计学意义(P<0.05),且护理后两组患者SDS和SAS评分均有明显的下降,干预组SDS和SAS评分明显低于对照组(P<0.05);对照组患者护理满意度为83.61%低于干预组的98.67%,差异具有统计学意义(P<0.05)。结论对高血压脑出血患者采用综合护理干预,提高患者精神状态,并且可以改善患者的预后和生活质量,值得临床推广。

Objective To investigate the effect of comprehensive nursing intervention on the mental state and quality of life of the patients with hypertensive cerebral hemorrhage. Methods 136 patients with hypertensive cerebral hemorrhage in our hospital from February 2016 to February 2017 were selected and divided into intervention group and control group. The control group was given routine nursing and the observation group received comprehensive nursing intervention. The self anxiety scale(SAS)and self depression Scale(SDS)were used to evaluate the mental status of the patients,and the quality of life index score was used to evaluation of patients’ quality of life(QOL). Nursing satisfaction of patients was evaluated by using a questionnaire. Results Before intervention,there were no significant group difference in SDS and SAS and QOL scores(P>0.05). After Intervention,QOL scores of two groups were increased,and QOL score in intervention group were higher than that of the control group(P<0.05);the SDS and SAS scores were decreased after intervention in both groups. SDS and SAS were significantly lower in observation group than that of the control group(P<0.05);patients satisfaction of control group was lower that of the observation group(83.61% vs 98.67%,P<0.05). Conclusion Comprehensive nursing intervention on patients with hypertensive cerebral hemorrhage can improve the mental status of patients,and improve the prognosis and quality of life of patients. It is worthy of clinical promotion.