出血性脑梗死临床护理的观察与分析

Observation and Analysis of Clinical Nursing for Hemorrhagic Cerebral Infarction

目的对出血性脑梗死的临床护理措施进行分析探讨。方法将2016年1月-2018年6月在该院接受治疗的110例出血性脑梗死患者随机分为两组,对照组55例患者行常规护理,观察组55例患者行综合护理,对比两组护理效果。结果观察组护理后NIHSS评分、Barthel指数、及FMA评分为(12.44±1.82)分、(52.41±6.84)分、(98.26±7.72)分,对照组为(17.52±1.93)分、(45.28±4.31)分、(90.37±7.67)分,组间比较差异有统计学意义(t=9.003、12.782、5.114,P<0.05)。观察组护理后SAS、SDS评分为(36.27±2.54)分、(37.49±2.03)分,对照组为(42.98±2.42)分、(43.28±2.51)分(t=11.226、6.371,P<0.05)。观察组护理满意度为96.36%,明显高于对照组的78.18%(χ^2=13.902,P<0.05)。结论对出血性脑梗死患者积极开展综合护理,可有效缓解患者临床症状,提高治疗效果,改善患者的健康与生活质量,值得而临床应用推广。

Objective To analyze the clinical nursing measures of hemorrhagic cerebral infarction.Methods 110 patients with hemorrhagic cerebral infarction who were treated in our hospital from January 2016 to June 2018 were randomly divided into two groups.55 patients in the control group underwent routine nursing,and 55 patients in the observation group underwent comprehensive nursing.The care effects of the two groups were compared.Results The NIHSS score,Barthel index and FMA score of the observation group were(12.44±1.82)points,(52.41±6.84)points,(98.26±7.72)points,and the control group was(17.52±1.93)points,(45.28±4.31)points,(90.37±7.67)points,there were statistically significant differences between groups(t=9.003,12.782,5.114,P<0.05).The SAS and SDS scores of the observation group were(36.27±2.54)and(37.49±2.03)points,and the control group was(42.98±2.42)points and(43.28±2.51)points(t=11.226,6.371,P<0.05).The nursing satisfaction of the observation group was 96.36%,which was significantly higher than that of the control group 78.18%(χ^2=13.902,P<0.05).Conclusion The active comprehensive nursing care for patients with hemorrhagiccerebral infarction can effectively alleviate the clinical symptoms,improve the therapeuticeffect,improve the health and quality of life of patients,and it is worthy of clinical application.