链式抢救流程护理在急性高血压脑出血患者中的应用效果

Application effects of chain rescue procedure nursing on patients with acute hypertensive cerebral hemorrhage

目的:观察链式抢救流程护理在急性高血压脑出血患者中的应用效果。方法:选取2018年7月至2019年12月该院收治的40例急性高血压脑出血患者设为研究组,选取2017年1月至2018年6月该院收治的40例急性高血压脑出血患者设为对照组。对照组行常规急救护理,研究组在对照组基础上给予链式抢救流程护理,比较两组美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数评分和格拉斯哥预后量表(GOS)评级。结果:护理后1个月,两组NIHSS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组Barthel指数评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后3个月,研究组GOS评级显著优于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上应用链式抢救流程护理可降低急性高血压脑出血患者NIHSS评分,提高其Barthel指数评分,改善其GOS评级,效果优于单纯常规护理。

Objective: To observe application effects of chain rescue procedure nursing on patients with acute hypertensive cerebral hemorrhage. Methods: 40 patients with acute hypertensive cerebral hemorrhage admitted to our hospital from July 2018 to December 2019 were selected as study group;40 patients with acute hypertensive cerebral hemorrhage admitted to our hospital from January 2017 to June 2018 were selected as control group. The control group was given routine emergency nursing, while the study group used the chain rescue procedure nursing on the basis of that of the control group. The national institutes of health stroke scale(NIHSS) score, the Barthel Index score and the Glasgow outcome scale(GOS) score were compared between the two groups. Results: 1 month after the nursing, the NIHSS scores of the two groups were lower than those before the nursing, that of the study group was lower than that of the control group, and the difference was statistically significant(P<0.05).The Barthel index scores of both groups were higher than those before the nursing, that of the study group was higher than that of control group, the difference was statistically significant(P<0.05). Further, 3 months after the nursing, the GOS score of the study group was significantly better than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: On the basis of the routine nursing, the chain rescue procedure nursing can reduce the NIHSS scores, increase the Barthel index scores and improve the GOS scores of the patients with acute hypertensive cerebral hemorrhage. Moreover, it is superior to single routine nursing.