综合护理干预对高血压脑出血患者术后康复及心理状态的影响

Influence of comprehensive nursing intervention on postoperative rehabilitation and psychological status of patients with hypertensive intracerebral hemorrhage

目的观察综合护理干预对高血压脑出血患者术后康复情况及心理状态的影响。方法 94例高血压脑出血患者,按护理方案不同分为对照组和观察组,各47例。对照组采用常规护理,观察组在对照组基础上行综合护理干预,对比两组康复情况及心理状态。结果护理后,观察组Fugl-Meyer评分、功能独立性量表(FIM)评分均优于对照组,差异有统计学意义(P<0.05);观察组焦虑自评量表(SAS)评分为(35.14±5.36)分,抑郁自评量表(SDS)评分为(40.01±4.12)分,均优于对照组的(42.08±6.25)、(48.26±4.69)分,差异有统计学意义(P<0.05)。结论综合护理可促进高血压脑出血患者加快术后康复,并改善心理状态,效果显著,值得推广。

Objective To observe the influence of comprehensive nursing intervention on postoperative rehabilitation condition and psychological status of patients with hypertensive intracerebral hemorrhage. Methods A total of 94 patients with hypertensive intracerebral hemorrhage were divided by different nursing methods into control group and observation group, with 47 cases in each group. The control group received routine nursing, and the observation group received comprehensive nursing on the basis of the control group. Comparison were made on rehabilitation condition and psychological status in two groups. Results After nursing, the observation group had better Fugl-Meyer score and functional independence measure （FIM） score than the control group, and their difference had statistical significance （P〈0.05）. The observation group had self-rating anxiety scale （SAS） score as （35.14 ± 5.36） points and self-rating depression scale （SDS） score as （40.01 ± 4.12） points, which were all better than （42.08 ± 6.25） and （48.26 ± 4.69） points in the control group, and their difference had statistical significance （P〈0.05）. Conclusion Comprehensive nursing shows remarkable effect in promoting the rehabilitation of patients with hypertensive intracerebral hemorrhage and improving their psychological status. So it is worth popularizing.