加强护理干预对多发性颅内血肿Ⅰ期手术治疗患者的影响

Effects of intensified nursing intervention on the stage Ⅰ surgical patients with multiple intracranial hematoma

目的探讨加强护理干预对多发性颅内血肿Ⅰ期手术治疗患者的影响。方法选取2016年1月至2017年2月成都市第三人民医院神经外科收治的多发性颅内血肿Ⅰ期患者98例,随机分为2组,对照组患者应用常规护理进行干预,研究组患者应用加强护理进行干预。比较2组患者美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、Barthel指数(Barthel index,BI)评分、血肿量以及并发症发生率。结果研究组患者NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。研究组患者BI评分明显高于对照组,差异有统计学意义(P<0.05)。研究组患者血肿量低于对照组,差异有统计学意义(P<0.05)。研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论在多发性颅内血肿Ⅰ期患者的护理过程中,加强护理干预可以有效降低患者NIHSS的评分,提高患者的BI评分,降低患者血肿量、并发症发生率,值得临床推广。

Objective To explore the effects of intensified nursing intervention on the stage I surgical patients with multiple intracranial hematoma.Methods Ninety-eight stage I surgical patients with multiple intracranial hematoma who were treated in the hospital from January 2016 to February 2017 were enrolled for study, and were randomly divided into 2 groups. The patients in the control group received conventional nursing intervention, while the patients in the research group were treated with intensified nursing intervention. The National Institute of Health Stroke Scale(NIHSS) scores, Barthel Index(BI) scores, hematoma volume and rate of complications were compared between the 2 groups.Results The NIHSS scores of the research group were significantly lower than those of the control group(P<0.05). The BI scores of the research group were obviously higher than those of the control group, and statistical significance could be found when comparisons were made between them(P<0.05). The amount of hematoma in the research group was lower than that in the control group, and there was also statistical significance when comparisons were made(P<0.05). The rate of complications in the research group was lower than that in the control group, also with statistical significance(P<0.05).Conclusion During the nursing process of stage I surgical patients with multiple intracranial hematoma, intensified nursing intervention could effectively decrease the NIHSS scores, enhance BI scores, reduce hematoma volume and at the same time decrease the rate of complications. Therefore, it is worth further clinical promotion.