急诊护理干预对脑出血患者预后的影响

Effect of Emergency Nursing Intervention on the Prognosis of Patients with Cerebral Hemorrhage

目的探讨分析脑出血患者实施急诊护理干预对其预后的影响。方法方便选取该院2016年1—12月期间收治的104例脑出血患者按照不同的护理干预方式随机分为治疗组(52例,常规护理基础上加强急诊护理干预措施)和对照组(52例,实施常规护理干预),分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者焦虑、抑郁情绪变化,对比两组患者急救反应时间、护理前后SAS及SDS评分变化、死亡率等情况。结果治疗组患者平均急救反应时间(72.9±11.6)min明显短于对照组(132.1±11.8)min,干预前,两组焦虑与抑郁评分比较差异无统计学意义(P>0.05),干预后,均降低,且干预后,治疗组焦虑评分(41.4±13.1)分、抑郁评分(40.4±8.9)分,与对照组比较差异有统计学意义(P<0.05)。治疗组死亡率(1.9%)显著低于对照组(19.2%),组间数据差异有统计学意义(P<0.05)。结论脑出血患者实施急诊护理干预可缩短急救反应时间,改善患者负面情绪,降低死亡率,在临床上具有较高的推广应用价值。

Objective To study the effect of emergency nursing intervention on the prognosis of patients with cerebral hemorrhage.Methods 104 cases of patients with cerebral hemorrhage admitted and treated in our hospital from January 2016 to December 2016 were convenient selected and divided into two groups with 52 cases in each according to different nursing intervention methods,the treatment group enhanced the emergency nursing intervention measures on the routine nursing,while the control group used the routine nursing intervention,and the changes of anxiety and depression were evaluated by the SAS and SDS scores,and the emergency reactive time,changes of SAS score and SDS score before and after nursing and morality were compared between the two groups.Results The average emergency reactive time in the treatment group was obviously shorter than that in the control group,[(72.9±11.6)min vs(132.1±11.8)min],before intervention,the differences in the anxiety and depression scores between the two groups were not obvious(P>0.05),after intervention,these indicators decreased,and the anxiety and depression scores in the intervention group after intervention were respectively(41.4±13.1)marks and(40.4±8.9)marks,and the differences were obvious(P<0.05).The mortality of the treatment group was significantly lower than that of the control group(1.9%vs 19.2%),the differences are statistically significant(P<0.05).Conclusion The emergency nursing intervention in patients with cerebral hemorrhage can shorten the emergency reactive time,improve the negative emotion and reduce the morality,which is of higher promotion and application value.