高血压合并脑出血患者血肿穿刺引流术后的人性化护理干预

Human nursing intervention for hypertensive patients with cerebral hemorrhage after hematoma puncture drainage

目的观察分析人性化护理干预措施在高血压合并脑出血患者血肿穿刺引流术后的应用效果。方法选择本院行血肿穿刺引流术的134例高血压合并脑出血患者为研究对象,应用随机数表法分为对照组和观察组,各67例。对照组在患者术后进行常规护理干预,观察组在此基础上应用人性化护理干预措施。观察2组患者术后并发症发生情况,并对比护理前后2组神经功能及自理能力恢复效果。结果术后,观察组患者的便秘、再出血、坠积性肺炎、下肢静脉血栓等并发症总发生率7.46%低于对照组20.90%(P<0.05);护理前,2组NIHSS量表评分对比差异无统计学意义(P>0.05);护理后,2组NIHSS量表评分均低于护理前,观察组低于对照组(P<0.05)。护理前,2组Barthel指数评分对比差异无统计学意义(P>0.05);护理后,2组Barthel指数评分均高于护理前,观察组高于对照组(P<0.05)。结论在高血压合并脑出血患者血肿穿刺引流术后应用人性化护理干预措施效果显著,可有效减少术后并发症,促进患者神经功能及自理能力的恢复,减轻疾病后遗症对患者日常生活的影响。

Objective To observe effect of human nursing intervention for hypertensive patients with cerebral hemorrhage after hematoma puncture drainage.Methods A total of 134 hypertensive patients with cerebral hemorrhage in our hospital were randomly divided into control group and observation group,with 67 cases in each group.The patients in the control group received routine nursing intervention after operation,and the patients in the observation group applied humanized nursing intervention on the basis of routine nursing.The incidences of postoperative complications in both groups were observed,and the effect of neurological function and self-care ability recovery were compared between two groups before and after nursing.Results The total incidences of complication such as constipation,re-bleeding,hypostatic pneumonia and venous thrombosis in observation group were lower than that in control group(7.46%vs.20.90%,P<0.05).Before nursing intervention,there was no significant difference between the two groups in NIHSS scale score(P>0.05).After nursing intervention,the NIHSS scores of two groups were lower than nursing before,and the observation group was lower than the control group(P<0.05).Before nursing intervention,there was no significant difference between the two groups in Barthel index score(P>0.05).After the nursing intervention,the scores of Barthel index in both groups were higher than nursing before,and the observation group was higher than the control group(P<0.05).Conclusion Human nursing intervention significant effect for hypertensive patients with cerebral hemorrhage underwent hematoma puncture,and it can effectively reduce postoperative complications and promote recovery of neurological function and self-care ability,and reduce the impact of disease sequelae on the daily life of patients.