集束化护理干预对动脉瘤性蛛网膜下腔出血患者头痛及预后的影响

Effect of Cluster Nursing Intervention on Headache and Prognosis of Patients with Aneurysmal Subarachnoid Hemorrhage

目的:分析集束化护理干预对动脉瘤性蛛网膜下腔出血患者头痛及预后的影响.方法:选取2017年1月-2019年2月在本院就诊的动脉瘤性蛛网膜下腔出血患者88例,按随机数字表法分为对照组与观察组,各44例.对照组给予常规护理,观察组采用集束化护理干预.比较两组头痛程度、功能状态及并发症发生情况.结果:干预7 d后,观察组头痛视觉模拟评分量表(VAS)评分低于对照组(P<0.05).干预后3个月,观察组卡式(KPS)评分高于对照组(P<0.05).观察组并发症发生率为4.55%低于对照组的18.18%(P<0.05).结论:集束化护理干预可有效减轻动脉瘤性蛛网膜下腔出血患者头痛症状,改善患者预后并降低并发症发生率,值得临床推广.

Objective:To analyze the effect of cluster nursing intervention on headache and prognosis of patients with aneurysmal subarachnoid hemorrhage.Method:A total of 88 patients with aneurysmal subarachnoid hemorrhage admitted to our hospital from January 2017 to February 2019 were selected.They were divided into control group and observation group according to the random number table method,with 44 patients in each group.The control group was given routine nursing,and the observation group was given cluster nursing intervention.Headache degree,functional status and complications were compared between the two groups.Result:After 7 d of intervention,the visual analogue scale(VAS)score of headache in the observation group was lower than that in the control group(P<0.05).3 months after intervention,the Karnofsky performance status(KPS)score of the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group was 4.55%lower than 18.18%in the control group(P<0.05).Conclusion:Cluster nursing intervention can effectively reduce the headache symptoms of patients with aneurysmal subarachnoid hemorrhage,improve the prognosis of patients and reduce the incidence of complications,which is worthy of clinical promotion.