早期康复护理措施对高血压脑出血行颅内血肿术患者术后功能康复的影响

Effect of Early Rehabilitation Nursing Measures on Postoperative Functional Rehabilitation of Patients with Hyper⁃tensive Cerebral Hemorrhage Undergoing Intracranial Hematoma Surgery

目的:探讨在高血压脑出血行颅内血肿术患者中采取早期康复护理措施的效果。方法:选取2018年12月—2020年9月莆田学院附属医院收治的88例高血压脑出血患者作为研究对象,依照随机数表法分为对照组(44例,给予常规护理)和观察组(44例,采用早期康复护理措施)。对比两组患者术后功能康复水平[神经功能(NIHSS)、日常生活活动能力(MBI)、格拉斯哥昏迷指数(GCS)]、血压水平、并发症发生率和护理满意度。结果:干预后,两组患者功能康复水平优于干预前,且观察组干预4周后,MBI、GCS评分比对照组高,NIHSS评分比对照组低,差异有统计学意义(t=8.397、6.700、10.086,P<0.05);干预后,两组患者血压水平优于干预前,且观察组干预4周后舒张压、收缩压水平均比对照组低,差异有统计学意义(t=6.106、8.316,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.456,P=0.014)。观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.062,P<0.05)。结论:早期康复护理措施用于高血压脑出血行颅内血肿术患者,有利于降低患者血压水平,改善其神经功能与日常生活能力,减少并发症,促进患者术后康复,从而提升患者满意度。

Objective:To investigate the effect of early rehabilitation nursing measures in patients with hypertensive cerebral hemorrhage who underwent intracranial hematoma surgery.Methods:Eighty-eight patients with hypertensive cerebral hemorrhage admitted to the hospital from December 2018 to September 2020 were selected as study subjects and divided into a control group(44 cases,given conventional care)and an observation group(44 cases,with early rehabilitation care measures)according to the random number table method.The level of functional recovery(neurological function[NIHSS],activities of daily living[MBI],Glasgow Coma Index[GCS]),blood pressure level,complication rate and satisfaction with care were compared between the two groups.Results:After the intervention,the level of functional rehabilitation was better in both groups than before the intervention,and the observation group had higher MBI and GCS scores and lower NIHSS scores than the control group after 4 weeks of inter⁃vention,with statistically significant differences(t=8.397,6.700,10.086,P<0.05).After the intervention,the blood pressure levels were better in both groups than before the intervention,and the diastolic and systolic blood pressure levels were lower in the obser⁃vation group than in the control group after 4 weeks of intervention,with statistically significant differences(t=6.106,8.316,P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was sta⁃tistically significant(χ^(2)=4.456,P=0.014).The observation group had higher nursing satisfaction than the control group,and the dif⁃ference was statistically significant(χ^(2)=4.062,P<0.05).Conclusion:Early rehabilitation nursing measures used for patients with hypertensive cerebral hemorrhage undergoing intracranial hematoma are beneficial to lowering patients’blood pressure levels,im⁃proving their neurological function and daily living ability,reducing complications,and promoting postoperative rehabilitation,there⁃by enhancing patient satisfaction.