针对性护理措施对脑出血患者预防脑疝的效果观察

Effect of targeted nursing measures on the prevention of cerebral hernia in patients with cerebral hemorrhage

目的:观察针对性的护理措施对脑出血患者预防脑疝的应用效果。方法:选取58例脑出血患者作为研究对象,采取随机数字表法分为对照组(n=28)和观察组(n=30)。对照组采用常规护理,观察组采用针对性的预防性护理措施,比较两组患者脑疝发生率、预后结局、生活能力及神经功能改善、住院时间、并发症发生情况及护理满意率方面的差异。结果:观察组患者脑疝的发生率明显低于对照组,两组患者预后情况分布差异有统计学意义(P <0. 05);观察组患者的神经功能缺损评分(CSS)和卒中评分量表(ESS)评分明显优于对照组;观察组患者的住院时间明显低于对照组,护理满意度较高且并发症发生率更低,以上差异均有统计学意义(P <0. 05)。结论:有针对性的护理预防措施能有效改善脑出血患者的预后情况,降低不良并发症及脑疝的发生率,从而提高家属满意度。

Objective To observe the effect of pertinent nursing measures on the prevention of cerebral hernia in patients with cerebral hemorrhage. Method 58 cases of cerebral hemorrhage were selected as the research object. The random digital table was used to divide into the control group （28 cases） and the observation group （30 cases）. The control group adopted the routine nursing, the observation group adopted the pertinent preventive nursing measures, and the incidence of brain hernia, prognosis, viability and neurological function improvement, hospitalization time, complications and nursing satisfaction between the two groups were compared. Results The incidence of hernia in the observation group was significantly lower than that of the control group. There was a significant difference in the distribution of the prognosis in the two groups （ P 〈 0. 05 ）. The neurological deficit score （CSS） and Stroke Scale （ESS） score in the observation group were significantly better than those in the control group. The hospitalization time in the observation group was significantly lower than that in the control group, and the nursing satisfaction was higher and the incidence of complications was lower, the different was statistically significant （P 〈 0. 05 ）. Conclusion The targeted nursing prevention measures can effectively improve the prognosis of patients with cerebral hemorrhage, reduce the incidence of adverse complications and hernia,which will improve family satisfaction.