高血压脑出血患者围术期优化健康教育联合生态营养的实施效果

Effect of perioperative op timal health education combined with ecological nutrition on patients with hypertensive intracerebral hemorrhage

目的观察优化健康教育联合生态营养在高血压脑出血患者围术期的应用效果。方法选取2020年5月一2021年5月收治的180例高血压脑出血手术患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各90例。对照组给予常规护理,观察组在对照组基础上联合实施生态营养干预及优化的健康教育,比较两组胃肠道功能障碍发生率,血压控制、心血管事件发生率以及治疗过程依从性。结果优化健康教育联合生态营养干预后,观察组拒食、腹泻、症状性腹胀、胃内容物反流及上消化道出血胃肠道功能障碍发生率低于对照组,差异有统计学意义(P<0.05)。观察组收缩压、舒张压均优于对照组,差异有统计学意义(P<0.05)。观察组脑卒中、心肌梗死、心力衰竭及不稳定型心绞痛等心血管事件发生率低于对照组,差异有统计学意义(P<0.05)。观察组治疗过程中规律用药、体质量控制、食盐控制、适当运动依从性优于对照组,差异均有统计学意义(P<0.05)。结论优化健康教育联合生态营养干预改善了高血压脑出血患者胃肠道功能障碍,降低了心血管事件发生率,有效提升了治疗依从性。

Objective To observe the effect of optimized health education combined with ecological nutrition in patients with hypertensive intracerebral hemorrhage during perioperative period.Methods A total of 180 patients with hypertensive intracerebral hemorrhage admitted from May 2020 to May 2021 were selected as the study object.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 90 patients in each group.The control group received routine nursing care,while the observation group jointly implemented ecological nutrition intervention and optimized health education on the basis of the control group.The incidence of gastrointestinal dysfunction,blood pressure control,cardiovascular events and compliance in the treatment process were compared between the two groups.Results After the intervention of optimized health education combined with ecological nutrition,the incidence of food refusal,diarrhea,symptomatic abdominal distension,reflux of gastric contents and gastrointestinal bleeding in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The systolic pressure and diastolic pressure in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of cardiovascular events such as stroke,myocardial infarction,heart failure and unstable angina in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The compliance of regular medication,body mass control,salt control and proper exercise in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The optimized health education combined with ecological nutrition intervention can improve gastrointestinal dysfunction in patients with hypertensive intracerebral hemorrhage,reduce the incidence of cardiovascular events,and effectively enhance the treatment compliance.