围手术期护理干预在高血压脑出血开颅血肿清除术患者中的开展价值

Value of Perioperative Nursing Intervention in Patients with Hypertensive Intracerebral Hemorrhage Undergoing Craniotomy and Hematoma Clearance

目的分析开颅血肿清除术治疗高血压脑出血时围手术期护理干预的临床效果。方法将2018年8月至2019年8月到我院进行治疗的96例高血压患者随机分为观察组和对照组,平均为48例。所有患者按常规的开颅血肿清除术治疗,并对两组患者实施围手术期优质护理和常规护理,对两组患者经过不同护理之后的并发症发生率、焦虑和抑郁心理、神经功能、运动功能、生活能力、生活质量和满意度等进行统计学分析和对比。结果①观察组(3例,占比为6.25%)护理之后出现的并发症概率明显低于对照组(13例,占比为27.08%)(P<0.05)。②观察组和对照组在护理之前评价焦虑和抑郁等负面心理差异无统计学意义(P>0.05),护理之后观察组的焦虑和抑郁心理的减轻效果均比对照的更好(P<0.05)。③护理之前观察组和对照组神经功能、运动功能和生活能力评分差异无统计学意义(P>0.05),护理之后观察组的神经功能、运动功能和生活质量评分改善效果均比对照组更理想(P<0.05)。④护理之前观察组和对照组在生活质量评分差异无统计学意义(P>0.05),护理以后观察组的生活质量改善效果比对照组更好(P<0.05)。⑤观察组(46例,占比为95.83%)对护理满意度的认可比对照组(40例,占比为83.33%)更高(P<0.05)。结论针对开颅血肿清除术治疗的高血压性脑出血患者围手术期以优质护理开展干预可以避免患者出现更为严重的并发症,能缓解患者的不良心态,对减轻神经功能和运动功能的损害,提高患者的生活能力和生活质量具有重要的价值,能提高患者的接受和认可度。

Objective To analyze and observe the clinical effect of perioperative nursing intervention in the treatment of hypertensive intracerebral hemorrhage by craniotomy hematoma evacuation.Methods Ninety-six patients with hypertension treated in our hospital from August 2018 to August 2019 were randomly divided into observation group and control group,with an average of 48 cases.All patients were treated with conventional craniotomy hematoma evacuation,and the two groups were given perioperative high-quality nursing and routine nursing.The incidence of complications,anxiety and depression,neurological function,motor function,living ability,quality of life and satisfaction were statistically analyzed and compared between the two groups after different nursing.Results(1)Observation group(3 cases,accounting for 6.25%)The incidence of complications after nursing was significantly lower than that in the control group(13 cases,accounting for 27.08%)(P<0.05).(2)There was no significant difference between the observation group and the control group in the evaluation of negative psychology such as anxiety and depression before nursing(P>0.05),and the alleviation effect of anxiety and depression in the observation group was better than that in the control group after nursing(P<0.05).(3)There was no significant difference in the scores of neurological function,motor function and living ability between the observation group and the control group before nursing(P>0.05).After nursing,the improvement of neurological function,motor function and quality of life in the observation group was better than that in the control group(P<0.05).(4)Before nursing,there was no significant difference in the quality of life score between the observation group and the control group(P>0.05).After nursing,the improvement of quality of life in the observation group was better than that in the control group(P<0.05).(5)The satisfaction of nursing in the observation group(46 cases,accounting for 95.83%)was higher than that in the control group(40 cases,accounting for 83.33%)(P<0.05).Conclusion Perioperative high-quality nursing intervention for patients with hypertensive cerebral hemorrhage treated by craniotomy hematoma evacuation can avoid more serious complications,alleviate the bad mentality of patients,reduce the damage of neurological function and motor function,improve the living ability and quality of life of patients,and improve the acceptance and recognition of patients.