不同护理路径在脑出血患者护理中的应用观察

Different Nursing Path in Application of the Nursing Care of Patients with Cerebral Hemorrhage

目的探究不同护理路径在脑出血患者护理中的应用效果。方法随机选取2013年11月—2015年11月该院住院治疗并且已经确诊的102例脑出血患者,将患者随机分为观察组和对照组;观察组患者采取临床护理路径进行护理,对照组患者进行常规的护理方案进行治疗;对观察组和对照组的神经缺损评分、护理满意度以及治疗有效率进行对比,并详细记录两组患者出现的不良反应。结果观察组的护理满意度及总满意率明显高于对照组(P<0.05);经过护理疗程实施对比后,观察组的治疗总有效率显著高于对照组的(P<0.05);观察组患者在护理干预前后神经缺损评分差异有统计学意义(P<0.05);对照组患者在护理干预前后神经缺损评分存差异有统计学意义(P<0.05);而护理前两组的神经缺损评分差异无统计学意义,护理干预后二组差异有统计学意义(P<0.05)。观察组出现6例不良反应患者,对照组出现12例不良反应患者,其中16例患者不良反应经治疗后均得到有效好转。结论临床护理路径在脑出血患者护理干预中具有明显效果,具有满意度高、临床效果好、不良反应少等特点,可在临床上进一步推广运用。

Objective To explore the application effect of different nursing pathway in nursing of patients with cerebral hemorrhage. Methods Randomly selected in November 2013 and November 2015 in our hospital inpatient treatment and diagnosis of 102 cases of cerebral hemorrhage patients, the patients were randomly divided into observation group and control group; patients in the observation group adopted the clinical nursing path care, control group were treated with conventional care regimens in the treatment; the observation group and control group of neurological deficit score, nursing satisfaction and treatment effective rate were compared and detailed records of the adverse reactions of two groups of patients. Results In the observation group, the nursing satisfaction and total satisfaction rate was significantly higher than that of the control group（P〈0.05）; the total efficiency of treatment after treatments with contrast, the observation group was significantly higher than that in the control group（P〈0.05）; observation of patients in nursing intervention before and after neurological deficit score exists significant difference（P〈0.05）; control group patients in the nursing intervention before and after nerve defect score had significant difference（P〈0.05）; and neurological defect score before treatment in the two groups no significant difference, the nursing intervention after two groups exist significant difference（P〈0.05）. Observation group of 6patients with adverse reactions, control group, 12 cases of adverse reactions, in which 16 cases of adverse reactions after treatment were effectively improved. Conclusion The clinical nursing pathway has obvious effect in nursing intervention of cerebral hemorrhage patients. It has the characteristics of high degree of satisfaction, good clinical effect, less adverse reaction, and can be used in clinical practice.