预见性护理干预对脑出血重症监护患者相关护理结局的影响

The Influence of Predictive Nursing Intervention on Related Nursing Outcomes of Patients with Cerebral Hemorrhage in Intensive Care

目的研究预见性护理干预对脑出血重症监护患者相关护理结局的影响。方法选取2018年7月~2019年7月我院接诊的118例脑出血重症监护患者为研究对象,采用随机数字表法分为对照组和观察组,各59例。对照组采用常规护理,观察组在对照组基础上应用预见性护理干预,比较两组并发症发生情况、生活质量SF-36量表评分、护理不良事件发生率、平均住院时间以及病死率。结果观察组并发症发生率低于对照组(6.78%vs 18.64%),差异有统计学意义(P<0.05);观察组心理健康、社会功能、物质生活、活力、情感职能、生理功能评分高于对照组,差异有统计学意义(P<0.05);观察组护理不良事件发生率低于对照组(3.38%vs 10.16%),差异有统计学意义(P<0.05);观察组住院时间短于对照组、病死率低于对照组[(11.22±0.26)d vs(19.13±1.23)d]、(1.69%vs 11.86%),差异有统计学意义(P<0.05)。结论预见性护理干预可降低脑出血重症监护患者并发症和护理不良事件发生,提高患者生活质量,缩短住院时间,降低病死率,整体护理结局理想。

Objective To study the impact of predictive nursing intervention on related nursing outcomes of patients with cerebral hemorrhage in intensive care.Methods A total of 118 intensive care patients with cerebral hemorrhage admitted to our hospital from July 2018 to July 2019 were selected as the research objects.They were divided into control group and observation group by random number table method,with 59 cases in each group.The control group used routine nursing care,and the observation group used predictive nursing intervention on the basis of the control group to compare the occurrence of complications,the quality of life SF-36 scale score,the incidence of nursing adverse events,the average length of stay and the mortality rate of the two groups.Results The incidence of complications in the observation group was lower than that in the control group(6.78%vs 18.64%),the difference was statistically significant(P<0.05);The mental health,social function,material life,vitality,emotional function,and physiological function scores of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05);The incidence of adverse nursing events in the observation group was lower than that in the control group(3.38%vs 10.16%),the difference was statistically significant(P<0.05);The length of stay in the observation group was shorter than that of the control group,and the mortality rate was lower than that of the control group[(11.22±0.26)dvs(19.13±1.23)d],(1.69%vs 11.86%),the difference was statistically significant(P<0.05).Conclusion Predictive nursing intervention can reduce the occurrence of complications and adverse nursing events in intensive care patients with cerebral hemorrhage,improve the quality of life of patients,shorten the length of hospitalization,reduce the mortality rate,and the overall nursing outcome is ideal.