预见性护理在脑卒中患者中的应用

Prospective Health Care in Patients with Stroke

目的探讨预见性护理在脑卒中的应用效果。方法选择2009年3月-2010年5月脑卒中住院患者160例作为对照组,选择2010年6月-2011年8月脑卒中住院患者160例作为观察组,对照组按神经内科护理常规进行护理,观察组在对照组的基础上实施预见性护理:呼吸道的护理、消化道的护理、泌尿系统的护理、皮肤的护理、心理护理、肢体功能训练及安全意外的预见性护理措施,比较两组护理后并发症发生率及安全意外事件发生情况。结果观察组并发症的发生率明显减少(P<0.05),安全意外发生率明显低于对照组。结论对脑卒中患者实施预见性护理能有效地减少和预防患者安全意外的发生,减少并发症的发生、改善预后。

Objective To discuss the effect of prospective health care in patients with stroke. Methods One hundred and sixty hospitalized patients with cerebral apoplexy between Mar. 2009 and May 2010 were selected as control group which received the routine nursing care, and other 160 patients with cerebral apoplexy between Jun. 2010 and Aug. 2011 were collected as obser- vation group which received the prospective health care, more attentions were played on the respiratory tract, digestive tract, urina- ry system, skin, mentality, training on limbs function and prevention of accidental events. The incidence of complications and acci- dental events were compared between the two groups. Results The incidence of complication and accidental events in the obser- vation group was significantly lower than that of control group（ P 〈 0.05 ）. Conclusion The prospective health care for the pa- tients with cerebral apoplexy can effectively decrease the incidence of complications, and prevent t the occurrence of accidental e- vents, and improve the prognosis of patients.