规范化护理模式在高血压脑出血围术期中的应用及对SAS、SDS、神经功能、并发症的影响分析

Application of Standardized Nursing Mode in Perioperative Period of Hypertensive Intracerebral Hemorrhage and Analysis of its Influence on SAS, SDS, Neurological Function and Complications

目的:分析规范化护理模式在高血压脑出血围术期中的应用及对焦虑自评量(SAS)、抑郁自评量表(SDS)、神经功能、并发症的影响。方法:选取2020年1月—2021年3月襄城县人民医院收治的130例高血压脑出血患者作为研究对象,根据护理方案不同将患者分为对照组与观察组,每组各65例。对照组给予常规护理。观察组接受规范化护理模式干预,比较两组患者的护理效果,如SAS评分、SDS评分、神经功能、并发症等。结果:护理后,所有患者SAS评分、SDS评分均明显降低,但观察组SAS评分、SDS评分明显低于对照组,差异有统计学意义(t=48.990 1、50.773 7,P<0.05)。护理后,观察组神经营养因子(BDNF)高于对照组,神经肽Y (NPY)和神经元特异性烯醇化酶(NSE)低于对照组,差异有统计学意义(t=10.429 5、28.715 8、24.280 8,P<0.05)。观察组并发症低于对照组,差异有统计学意义(χ^(2)=9.118 8,P<0.05)。结论:高血压脑出血患者接受规范化护理模式干预,可改善其心理状态、神经功能,并对并发症发生有预防和降低效果,利于术后康复。

Objective: To analyze the application of standardized nursing mode in the perioperative period of hypertensive intracerebral hemorrhage and its influence on SAS, SDS, neurological function and complications. Methods: A retrospective analysis of130 patients with hypertensive intracerebral hemorrhage admitted to the hospital from January 2020 to March 2021 was used as the research object. The patients were divided into a control group and an observation group according to different nursing plans, with65 cases in each group. The control group received routine nursing, The nursing effects, such as SAS score, SDS score, neurological function, complications, etc., were compared between the two groups. Results: After nursing, the SAS and SDS scores of all patients were significantly decreased, but the SAS and SDS scores of the observation group were significantly lower than those of the control group, and the difference was statistically significant(t=48.990 1, 50.773 7, P<0.05). After nursing, the BDNF of the observation group was higher than that of the control group, and the difference was statistically significant(t=10.429 5, P<0.05). The NPY and NSE of the observation group were lower than those of the control group, and the difference was statistically significant(t=28.715 8, 24.280 8, P<0.05). The complications in the observation group were lower than those in the control group, and the difference was statistically significant(χ^(2)=9.118 8, P<0.05). Conclusion: The standardized nursing mode intervention for patients with hypertensive cerebral hemorrhage can improve their psychological state and neurological function, and has the effect of preventing and reducing the occurrence of complications, which is beneficial to postoperative rehabilitation.