程序化护理干预对急性期脑出血患者治疗效果的影响

Effect of programmed nursing intervention on patients with acute cerebral hemorrhage

目的观察程序化护理干预措施在急性期脑出血患者治疗中的效果。方法选取2012年1月~2016年1月河北省衡水市第二人民医院收治的105例急性期脑出血患者作为研究对象,采用抛硬币法随机分为实验组(n=55)和对照组(n=50)。对照组患者采取常规治疗方法 ,实验组患者采取程序化护理干预措施,观察并比较两组患者的治疗效果,肢体功能评分(FMA)、运动功能独立性评价量表(FIM)、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分,不良反应发生情况以及两组患者对护理工作的满意情况等。结果实验组患者护理干预后的临床总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者护理前FMA、FIM、HAMD以及HAMA评分比较,差异无统计学意义(P>0.05);与护理前比较,两组患者护理后FMA、FIM、HAMD以及HAMA评分均有所改善,且实验组患者评分优于对照组,差异有统计学意义(P<0.05)。实验组护理干预后不良反应发生率低于对照组,差异有统计学意义(P<0.05)。实验组患者对护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论程序化护理干预措施可提高急性期脑出血患者的治疗效果,促进肢体功能和日常生活能力的恢复,降低不良反应的发生率,提高患者的满意度,具有一定的临床应用价值。

Objective To compare the procedural nursing intervention and routine nursing measure in the treatment of patients with acute cerebral hemorrhage, in order to analyze the clinical application value of procedural nursing interventions. Methods 105 cases of acute cerebral hemorrhage treated at the Second People＇s Hospital of Hengshui from January 2012 to January 2016 were selected and derided into experiment group （55 cases） and control group （50 cases） according to coin flips. The patients in control group were taken routine treatment, while the patients in experiment group were taken procedural nursing intervention measure. The clinical efficacy after nursing,the scores of FMA, FIM, HAMD and HAMA before and after nursing, the incidence of adverse reactions and the nursing satisfaction in the two groups were observed and compared. Results The clinical total effective rate in the experiment group after nursing was higher than that in the control group, with statistically significant difference （P 〈 0.05）. Before nursing, There were not significant difference in the scores of FMA, FIM, HAMD and HAMA between two groups （P〉0.05）. After nursing, the scores of FMA, FIM, HAMD and HAMA were changed, and those in the experiment group were better than those in the control group, with statistically significant difference （P 〈 0.05）. The incidence of adverse reaction in the experiment group was lower than that of the control group, with statistically significant difference （P 〈 0.05）. The nursing satisfaction in the experiment group was higher than that in the control group, with statistically significant difference （P 〈 0.05）. Conclusion Programmed nursing intervention can improve the treatment effect of patients with acute cerebral hemorrhage, promote the recovery of body function and the ability of daily life, reduce the incidence of adverse reactions, improve patient satisfaction. It is worthy of clinical application.