期望护理干预对脑出血患者的临床疗效影响

Expectations of Nursing Intervention on Clinical Efficacy in Patients with Cerebral Hemorrhage

目的探讨希望护理干预对脑出血患者的心理、神经功能和日常生活能力的影响。方法 48例脑出血患者随机分为对照组和观察组各24例。对照组给予外科常规护理;观察组给予希望护理干预。应用焦虑和抑郁自评量表、神经功能缺损量表和日常生活能力量表评估和比较两组患者护理干预前后的心理、神经功能和日常生活能力变化情况。结果希望护理组患者的SAS、SDS和神经功能缺损(NIHSS)的总评分均较对照组低,而日常生活能力(BI)评分明显高于对照组。结论希望护理能减少脑出血患者不良情绪,促进神经功能恢复和提高患者的日常生活能力。

Objective To explore the effect of expectation nursing on psychology, neurological function and activity of daily living of patients with cerebral hemorrhage. Method Forty eight patients with cerebral hemorrhage were randomly divided into control group and observation group, 24 patients in each group. The control group only received surgery usual care, while the observation group received routine care plus expectation nursing inervention. The psychology, neurological function and activity of daily living of pateints before and after treatment in two group were evaluated and compared by SAS, SDS, NIHSS and Barthel index scales. Results The total scores of SAS, SDS and NIHSS were significantly lower in expectation group than that in control group, while the total sore of BI was remarkably higher than that in control group, which had statistic significant （P＆lt;0.05）. Conclusions Expetatipon nursing intervention can effectively relieve or remove the dys-emotion and promote the recovery of neurological function and activity of daily living of patients with cerebral hemorrhage.