OREM自理模式对脑出血神经功能评分和术后并发症的影响

Applied research of cerebral hemorrhage neurological score and postoperative complications by OREM self-care mode

目的探讨OREM自理模式对脑出血神经功能评分和术后并发症的影响。方法分析辽宁省抚顺市中心医院神经外科2010年2月~2014年3月收治的200例脑出血患者的临床资料,依据是否实施预见性护理措施进行分组,常规护理组100例和OREM自理模式组100例。观察两组脑出血患者性别构成、年龄、平均处理时间、出血部位情况;脑出血患者神经功能缺损评分（NIHSS评分）和Glasgow昏迷评分（GCS）情况;脑出血患者术后复发、脑水肿、感染、消化道出血、肢体废用综合征、抑郁症发生率情况。结果两组脑出血患者性别构成、年龄、平均处理时间、出血部位等一般资料差异无统计学意义（P〉0.05）,OREM自理模式组脑出血患者NIHSS评分和Glasgow昏迷评分均优于常规护理组,OREM自理模式组脑出血患者术后复发,脑水肿、感染、消化道出血、肢体废用综合征、抑郁症等并发症发生率均低于常规护理组,差异均有统计学意义（P〈0.05）。结论 OREM自理模式对脑出血患者而言,可以明显改善患者的临床症状,降低术后并发症,值得临床推广应用。

Objective To approach applied research of cerebral hemorrhage neurological score and postoperative complications by OREM self-care mode. Methods 200 cases clinical data of hematencephalon patients were analyzed,which were to be divided into two groups, routine nursing group of 100 cases and OREM self-care mode group of 100 cases. The gender composition, age, average processing time, position of bleeding of hematencephalon patients in two groups were detected, the NIHSS score and GCS of hematencephalon patients in two groups were detected, the occurrence rate of postoperative recurrence, encephaledema, infection, alimentary tract hemorrhage, limb disuse syndrome,depressive disorder of hematencephalon patients were detected in two groups. Results The gender, age, average processing time, position of bleeding of hematencephalon patients in two groups were no differences（P 0.05）, the NIHSS score and GCS of OREM self-care mode group were better than those in routine nursing group, the occurrence rate of postoperative recurrence, the complications of encephaledema, infection, alimentary tract hemorrhage, limb disuse syndrome,depressive disorder of OREM self-care mode group were better than those in routine nursing group, the differences were statistical significant（P〈0.05）. Conclusion The clinical symptoms of cerebral hemorrhage postoperative complications by OREM self-care mode are improved, postoperative complications has decreased, which are to be used in clinic.