重度脑出血术后患者采用延续性护理干预对神经功能、生活质量及预后的影响

The Effects of Continuous Nursing Intervention on Neurological Function, Quality of Life and Prognosis of Patients with Severe Cerebral Hemorrhage after Operation

目的 研究重度脑出血术后患者采用延续性护理干预对神经功能、生活质量及预后的影响。方法 入组对象为我院2018年12月至2019年11月收治的156例重度脑出血患者。随机分为两组,对比组(78例)患者实施术后一般护理,观察组(78例)患者实施术后延续性护理。观察两组患者神经功能、生活质量改善情况及预后情况。结果 术后3个月及6个月,观察组NIHSS评分明显下降,且低于对比组(P <0.05)。护理后,观察组生活质量评分均有明显提升,且评分与对比组存在显著差异(P <0.05)。观察组恢复良好比例高于对比组(P <0.05),重度残疾比例低于对比组(P <0.05)。结论 对重症脑出血患者进行术后延续性护理,可有效提高其生活质量,改善神经功能,改善预后,对患者的疾病康复具有积极作用。

Objective To study the effects of continuous nursing intervention on neurological function, quality of life and prognosis of patients with severe cerebral hemorrhage after operation. Methods One hundred and fifty-six patients with severe cerebral hemorrhage admitted to our hospital from December 2018 to November 2019 were enrolled. Randomly divided into two groups, the comparison group(78 cases) patients with postoperative general care, and observation group(78 cases) patients with postoperative continuity of care. Neurological function, improvement of quality of life and prognosis of 2 groups were observed. Results At 3 and 6 months after operation, NIHSS score in the observation group was significantly lower than that in the control group(P<0.05). After nursing, the scores of quality of life in the observation group were significantly improved, and the scores were significantly different from those in the control group(P<0.05). The proportion of good recovery in the observation group was higher than that in the control group(P<0.05), and the proportion of severe disability was lower than that in the control group(P<0.05).Conclusion Postoperative continuous care for patients with severe cerebral hemorrhage can effectively improve their quality of life, improve the neurological function, improve the prognosis, has a positive effect on the rehabilitation of patients.