脑出血患者围术期采用流程化护理干预的效果评价

Evaluation of curative effects of process nursing intervention in perioperative period of patients with cerebral hemorrhage

目的评价脑出血患者围术期采用流程化护理干预的临床治疗效果。方法选取2017年1月~2018年6月于我院脑外科确诊并拟行脑部微创血肿清除手术的78例脑出血患者作为研究对象,按照随机数字表法分为实验组和对照组,每组39例,全部患者均行颅内血肿清除术,对照组给予围手术期常规护理,实验组给予流程化护理干预。比较两组入院时及出院时的神经症状评分和生活质量指数,比较不良反应发生率。结果两组患者治疗前Barthel指数及NIHSS评分比较,差异无统计学意义(P>0.05)。经不同护理干预后,全部患者Barthel指数较本组护理前显著增高,NIHSS评分明显降低,实验组Barthel指数显著高于对照组,NIHSS评分显著低于对照组,差异有统计学意义(P<0.05)。实验组不良反应发生率显著低于对照组。结论采用流程化护理干预脑出血围术期患者可以显著提高患者治疗效果,降低不良反应的发生,值得临床推广应用。

Objective To evaluate clinical curative effects of process nursing intervention in perioperative period of patients with cerebral hemorrhage. Methods 78 patients with cerebral hemorrhage diagnosed by department of brain surgery in our hospital and underwent minimally invasive hematoma clearance of the brain from January 2017 to June 2018 were selected as research objects.According to the random number table method,they were divided into the experimental group and the control group,with 39 cases in each group.All patients underwent hematoma clearance of the brain.The control group was given perioperative routine nursing while the experimental groupwas given process nursing intervention.The neurological symptom scores and quality of life index were compared between the two groups at admission and at discharge,and the incidence of adverse reactions was compared. Results There was no significant difference in Barthel index and NIHSS score between the two groups before treatment,and the difference was not statistically significant (P > 0.05).After different nursing interventions,Barthel index of all patients was significantly higher than that before the treatment,and the NIHSS score was significantly decreased.The Barthel index of the experimental group was significantly higher than that of the control group,and the NIHSS score was significantly lower than that of the control group.The differences were statistically significant (P < 0.05).The incidence of adverse reactions in the experimental group was significantly lower than that in the control group. Conclusion The application of process nursing intervention in in perioperative period of patients with cerebral hemorrhage can significantly improve the curative effects of patients and reduce the occurrence of adverse reactions, which is worthy of clinical promotion and application.