细节护理在脑出血患者术后的应用效果

Application effect of detail nursing in patients with intracerebral hemorrhage after operation

目的 分析细节护理在脑出血患者术后护理中的应用效果,为脑出血患者的临床治疗提供帮助。方法 选取高唐县人民医院2020年3—11月收治的64例脑出血患者进行研究,并采取随机双盲法将其分为对照组和观察组各32例。对照组给予常规护理,观察组给予常规护理联合细节护理。对两组患者的心理状态、生活质量、血清炎性因子水平、护理满意率进行比较。结果 护理前,两组SDS、SAS评分比较差异无统计学意义(P>0.05);护理后,两组SDS、SAS评分较护理前均降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理前,两组躯体功能、社会功能、生理功能、活力评分比较差异无统计学意义(P>0.05);护理后,两组躯体功能、社会功能、生理功能、活力评分均高于护理前,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。护理前,两组IL-1β、IL-2、IL-6、TNF-α蛋白水平比较差异无统计学意义(P>0.05);护理后,两组IL-1β、IL-2、IL-6、TNF-α蛋白水平均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组护理总满意率为96.88%,高于对照组的75.00%,差异有统计学意义(χ^(2)=6.335,P<0.05)。结论 在常规护理脑出血患者的基础上联合细节化护理干预措施,能够明显改善患者的心理状态、日常生活质量、血清炎性因子水平,能够使患者及其家属对护理服务更加满意,值得临床推广应用。

Objective To analyze the application effect of detail nursing in postoperative nursing of patients with intracerebral hemorrhage, in order to provide hep for the clinical treatment of patients with intracerebral hemorrhage. Methods A total of 64 patients with intracerebral hemorrhage treated in Gaotang Country People’s Hospital from March to November 2020 were selected for study,and divided into control group and observation group by randomized double-blind method,with 32 cases in each group. Routine nursing was given to the control group and routine nursing combined with detail nursing was given to the observation group. The psychological state,quality of life,serum inflammatory factor level and nursing satisfaction rate were compared between the two groups. Results There was no significant difference in SDS and SAS scores between the two groups before nursing(P > 0.05);after nursing,the SDS and SAS scores of the two groups were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P <0.05). There was no significant difference in physical function,social function,physiological function and vitality scores between the two groups before nursing(P >0.05);after nursing,the physical function,social function,physiological function and vitality scores of the two groups were higher than those before nursing,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05). There was no significant difference in the protein levels of IL-1β,IL-2,IL-6 and TNF-α between the two groups before nursing(P>0.05);after nursing,the levels of IL-1β,IL-2,IL-6and TNF-α protein levels were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05). The total nursing satisfaction rate of the observation group was 96.88%,which was higher than 75.00% of the control group,and the difference was statistically significant (χ^(2)=6.335,P <0.05). Conclusion The combined use of detailed nursing intervention measures on the basis of routine nursing for patients with intracerebral hemorrhage could significantly improve the psychological state,quality of daily life and serum inflammatory factor level of patients,and make patients and their families more satisfied with nursing services,which was worthy of promotion and application.