脑出血患者行颅内血肿清除术的护理研究

NURSING RESEARCH OF CEREBRAL HEMORRHAGE PATIENTS WITH INTRACRANIAL HEMATOMA REMOVAL

目的探讨对脑出血患者行颅内血肿清除术后实施综合护理干预的护理疗效。方法将莒县人民医院神经外科收治的68例脑出血行颅内血肿清除术的患者,随机分为对照组和观察组,每组各34例,给予对照组患者神经外科常规护理,观察组在神经外科常规护理基础上实施综合护理干预。干预护理1个月后,比较术后患者常见并发症的发生情况、家属对护理工作的满意度和采用Barthel指数评价术后患者日常生活能力。结果术后观察组中枢性高热、肺部感染、肾功能不全和应激性溃疡等常见并发症的发生明显少于对照组,而该组家属对护理工作的满意度97.1%明显高于对照组76.5%,术后1个月的日常生活能力Barthel指数评价明显优于对照组,差异均有统计学意义(P<0.05)。结论综合护理干预措施可降低脑出血行颅内血肿清除术患者的术后并发症,明显改善患者术后日常生活质量,并提高护理工作满意度,值得临床上推广使用。

Objective To explore the cerebral hemorrhage patients with intracranial hematoma removal surgery to implement comprehensive nursing effect of nursing intervention .Methods The records of 68 cases of cerebral hemorrhage ju county people＇s hospital neu‐rosurgery line removal of intracranial hematoma of pa‐tients were randomly divided into control group and observation group and control group ,34 cases were given in the control group in patients with neurosurgical routine nursing care ,observation group in neuro‐surgery implement comprehensive nursing intervention on the basis of conventional nursing care .Interven‐tion after 1 month ,compare the common complications in patients with postoperative satisfaction with nursing w ork ,family and the Barthel index to evaluate postoperative patients daily life skills .Results Post‐operative observation group central high fever ,pulmonary infection ,renal insufficiency ,and the common complications such as stress ulcer significantly less than the control group ,and the group＇s family of nurs‐ing work satisfaction 97 .1% to 76 .5% ,significantly higher than the control group after 1 month of daily life ability Barthel index evaluation was better than control group ,difference has statistical significance （ P〈 0 .05） .Conclusion comprehensive nursing intervention can reduce bleeding in the brain line removal of intracranial hematoma in patients with postoperative complications and improve patients daily life quality , and improve the nursing job satisfaction ,and is worth popularizing clinically used .