预见性护理模式对急性脑出血患者的影响观察

Observation on the effective of foreseeable nursing model applied to patients with acute cerebral hemorrhage

目的探讨预见性护理模式对急性脑出血患者的影响。方法选取北京海军总医院干部病房2010年4月。2012年11月收治的急性脑出血患者102例，随机分为研究组和对照组，每组各51例。对照组实施常规护理模式．研究组实施预见性护理模式。记录两组患者住院时间、并发症发生率及家属满意度情况。结果①研究组住院时间为（15．40±3．06）d，对照组为（20．15±5．13）d，差异有统计学意义（P〈0．05）。②研究组肺部感染、脑部再出血、消化道出血、尿路感染及褥疮发生率均低于对照组，差异有统计学意义（P〈0．05）。③研究组护理满意度为98．0％，对照组为82.4％，差异有统计学意义（P〈0．05）。结论预见性护理模式是一项科学、合理、有效的护理方案，不仅能降低脑出血患者并发症发生率，缩短住院时间，还能提高家属满意度，值得在临床上进一步推广。

Objective To observe the effective of foreseeable nursing model applied to patients with acute cerebral hemor- rhage. Methods 102 patients with acute cerebral hemorrhage from April 2010 to November 2012 in Cadres Ward of Navy General Hospital were selected and divided into researching group （n = 51） and control group （n = 51） randomly. The control group was given the general nursing model, while the researching group was given the foreseeable nursing model. The hospital stay, the incidence of complication and family satisfaction degree were recorded and compared between the two groups. Re- suits ①The hospital stay of researching group were （15.40±3.06） d, the hospital stay of control group were （20.15±5.13） d, the difference was statistically significant （P 〈 0.05）. ②The occurrence rate of lung infection, recurrent cerebral hemorrhage, hemorrhage of digestive tract, urinary tract infection and decubitus in researching group were all lower than those in control group the differences were statistically significant （P 〈 0.05）. ③The nursing satisfaction degree in researching group was 98.0% and was higher than that in the control group （82.4%）, the difference was statistically significant （P 〈 0.05）. Conclu- sion The foreseeable nursing model is a scientific, rational and effective nursing program, it can reduce the mortality of the complication, shorten the time of hospital stay, and improve the family satisfaction degree, it is worthy of clinical promotion.