围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的效果观察

Effect of Perioperative Nursing Intervention on Craniotomy Hematoma Clearance of Small Bone Window in Hypertensive Intracerebral Hemorrhage

目的探究围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果。方法选取我院2016年2月~2017年1月收入的高血压脑出血小骨窗开颅血肿清除术治疗患者88例,随机分为常规护理组和优质护理组各44例。常规护理组围手术期护理采用常规护理;优质护理组围手术期护理采用优质护理。比较两组患者护理满意度,疾病认知、手术知识认知、手术治疗依从性,围手术期不良事件发生率和护理前后不良情绪。结果优质护理组护理满意度,疾病认知、手术知识认知、手术治疗依从性,围手术期不良事件发生率,均优于常规护理组,差异有统计学意义(P<0.05)。护理后优质护理组患者不良情绪轻于常规护理组,差异有统计学意义(P<0.05)。结论围手术优质护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果确切,可提高患者疾病和手术认知,减轻不良情绪,提高治疗依从性,减少并发症,值得推广。

Objective To explore the nursing effect of perioperative nursing intervention in small bone window craniotomy for hypertensive intracerebral hemorrhage.Methods A total of 88 patients with hypertensive intracerebral hemorrhage from February 2016 to January 2017 in our hospital were randomly divided into routine care group and high quality care group and 44 cases in each group.Routine nursing care was adopted in the perioperative nursing care.Quality care group perioperative care using quality care.The two groups were compared on nursing satisfaction,disease cognition,surgical knowledge cognition,surgical treatment compliance,incidence of perioperative adverse events and pre-and post-care negative emotions.Results The nursing satisfaction,disease cognition,cognition of surgical knowledge,compliance of surgical treatment and perioperative adverse events in quality nursing group were better than those in routine nursing group,the difference was statistically significant(P<0.05).The negative emotion of the patients in the quality nursing group after nursing was less than that in the routine nursing group.The difference was statistically significant(P<0.05).Conclusion The quality nursing intervention of perioperative nursing in the clearance of small craniotomy hematoma of hypertensive intracerebral hemorrhage is effective,and can improve the patients'disease and operation cognition.It is worth popularizing to alleviate the bad emotion,improve the compliance of treatment and reduce the complications.