多感官促醒护理对高血压性脑出血术后昏迷病人苏醒时间、神经功能的影响

Effect of multi-sensory awakening nursing on recovery time and nerve function of coma patients after hypertensive intracerebral hemorrhage

目的:探讨多感官促醒护理对高血压性脑出血术后昏迷病人苏醒时间、神经功能的影响。方法:选取我院神经外科收治的高血压性脑出血术后昏迷病人112例为研究对象,采用单双数排列法将编号为单号的病人56例分为观察组,编号为双号的病人56例分为对照组。对照组病人给予常规高血压致脑出血术后昏迷护理干预模式,观察组病人在此基础上给予多感官促醒护理干预模式,总结并比较两组病人干预前后的苏醒时间、神经功能(意识障碍、生理状态、脑功能)以及术后并发症。结果:实施多感官促醒护理干预后,观察组病人的苏醒时间短于对照组病人(P<0.05);观察组病人的神经功能恢复情况强于对照组病人(P<0.05);观察组病人术后并发症发生率明显低于对照组病人(P<0.05)。结论:采用多感官促醒护理干预模式可缩短病人苏醒时间,显著减轻病人意识障碍,促使病人生理状态趋于正常化,有效地促进病人的神经功能恢复,降低术后并发症的发生率,对病人获取更优质护理结局起着重要的作用。

Objective:To explore the effect of multi-sensory awakening nursing on recovery time and nerve function of coma patients after hypertensive intracerebral hemorrhage.Methods:A total of 112 coma patients with hypertensive intracerebral hemorrhage treated in neurosurgery department from January 2018 to January 2019 were randomly divided into observation group(n=56)and control group(n=56).The patients in control group received the routine nursing intervention,and based on this,the patients in observation group received multi-sensory awakening nursing intervention.The coma,awakening time,and nerve function of patients in the two groups before and after intervention were observed and compared.Results:After the multi-sensory awakening nursing intervention,the consciousness disturbance of the patients in the observation group was lighter than that in the control group(P<0.05);the recovery time of the patients in the observation group was shorter than that in the control group(P<0.05);and the recovery of neurological function in the observation group was better than that in the control group(P<0.05).Conclusions:Multi-sensory awakening nursing intervention could significantly reduce the consciousness disorder of patients,shorten the awakening time of patients,and effectively promote the recovery of neurological function of patients,which played an important role in obtaining high-quality nursing outcomes in coma patients after hypertensive intracerebral hemorrhage.