目标导向性康复护理对ICU高血压脑出血患者神经功能的影响

Effect of goal-directed rehabilitation nursing on neurological function of patients with hypertensive cerebral hemorrhage in ICU

目的:研究目标导向性康复护理对ICU高血压脑出血的神经功能的影响,为临床护理研究提高依据。方法:选择2017年1月到2020年1月滁州市第一人民医院接诊的50例高血压脑出血患者作为研究对象。将所有患者按随机数表法,均分为研究组和对照组,各25例。对照组患者采用常规护理方式进行护理,主要包括生命体征监控、体位转变、药物治疗等。研究组患者采用目标导向性康复护理。比较两组患者的神经功能缺损程度、认知功能、患者家属护理满意度。结果:两组护理前神经功能缺损程度相比,差异无统计学意义(P<0.05)。护理后,两组患者评分结果均明显降低,且研究组患者的神经功能评分结果明显低于对照组,差异有统计学意义(P<0.05)。两组护理前简易智力检查量表(mini-mental state examination,MMSE)评分相比,差异无统计学意义(P<0.05)。护理后,两组患者MMSE评分结果均明显升高,且研究组患者的评分明显高于对照组,差异有统计学意义(P<0.05)。研究组患者家属的护理总满意度明显高于对照组患者,差异有统计学意义(P<0.05)。结论:目标导向性康复护理能够有效改善ICU高血压脑出血的神经功能,值得临床推广运用。

Objective:To study the effect of goal-directed rehabilitation nursing on neurologic function of hypertensive cerebral hemorrhage in ICU,so as to improve the basis for clinical nursing research.Methods:Fifty patients with hypertensive cerebral hemorrhage from January 2017 to January 2020 in Chuzhou No.1 People’s Hospital were selected as the study object.All patients were divided into study group(25 cases)and control group(25 cases).The patients in the control group were given routine nursing,mainly including vital signs monitoring,posture change,drug treatment and so on.The patients in the study group were given target-oriented rehabilitation nursing.The neurological deficit,cognitive function and nursing satisfaction of patients’families were compared between the two groups.Results:Before nursing there were no significant difference the neurological deficit score of the two groups between the two groups(P<0.05).After nursing,the neurological deficit score of the two groups were significantly reduced,and the neurological function score of the study group were significantly lower than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference between the two groups in the mini-mental state examination(MMSE)score before nursing(P<0.05).After nursing,the MMSE scores of the two groups of patients were significantly increased,and the scores of the study group were significantly higher than the control group,the difference was statistically significant(P<0.05).The total nursing satisfaction of the family members in the study group were significantly higher than that in the control group(P<0.05).Conclusion:Objective oriented rehabilitation nursing can effectively improve the neurological function of hypertensive cerebral hemorrhage in ICU,which is worthy of clinical application.