高血压脑出血患者危重期及康复期的护理体会

Nursing experience of patients with hypertensive cerebral hemorrhage in critical period and rehabilitation period

目的 研究高血压脑出血患者危重期及康复期的护理方法和效果.方法 选择我院高血压脑出血患者68例作为研究对象,随机分为对照组和观察组,各34例.对照组给予常规护理,观察组在对照组基础上给予危重期护理和康复期护理,比较两组患者的护理效果.结果 观察组患者护理总有效率为97.06%,高于对照组的73.53%（P〈0.05）.护理前,两组不良情绪评分比较无显著差异（P〉0.05）;护理后,观察组不良情绪评分优于对照组（P〈0.05）.护理前,两组患者NIHSS评分和ADL评分比较无显著差异（P〉0.05）;护理后,观察组NIHSS评分和ADL评分优于对照组（P〉0.05）.结论 对高血压脑出血患者给予危重期护理和康复期护理,效果确切,可有效减轻患者不良情绪,加速神经功能恢复,提高患者生活自理能力,值得临床推广应用.

Objective To explore the nursing method and effect of patients with hypertensive cerebral hemorrhage in criti- cal period and rehabilitation period. Methods Sixty-eight cases of patients with hypertensive cerebral hemorrhage in our hospital were selected as research objects and randomly divided into control group and observation group, with 34 cases in each group. The control group was given routine nursing, while the observation group received critical nursing and rehabili- tation nursing on the basis of the control group, the nursing effects of the two groups were compared. Results The nursing ef- ficiency of the observation group was 97.06%, which was higher than 73.53% of the control group （/~〈0.05）. Before nursing, there was no significant difference in negative emotions scores of the two groups （P〉0.05）; after nursing, the negative emo- tions scores of the observation group were better than those of the control group （/9〈0.05）. Before nursing, there was no sig- nificant difference in NIHSS score and ADL score of the two groups （P〉0.05）; after nursing, the NIHSS score and ADL score of the observation group were better than those of the control group （P〈0.05）. Conclusion Critical nursing and rehabilitation nursing has exact effect in the treatment of patients with hypertensive cerebral hemorrhage. It can effectively alleviate the negative emotions of patients, accelerate the recovery of neurological function, improve patients＇ self-care ability, which is worthy of clinical popularization and application.