针对性护理干预对改善高血压脑出血合并糖尿病患者术后并发症及预后的应用效果

Effect of Targeted Nursing Intervention on Improving Postoperative Complications and Prognosis of Patients with Hypertensive Cerebral Hemorrhage Complicated with Diabetes Mellitus

目的观察针对性护理干预对改善高血压脑出血合并糖尿病患者术后并发症及预后的应用效果分析。方法选取2019年1月—2021年12月三明市第二医院收治的高血压脑出血合并糖尿病患者160例作为研究对象,以随机数表法分为两组,每组80例,其中对照组开展常规护理干预,研究组开展针对性护理干预。统计术后并发症发生情况,比较两组患者干预前后的血压水平、血糖指标水平、神经功能缺损、基本生活能力评分及生活质量评分。结果干预后研究组术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。干预后两组血压水平、血糖指标水平、神经功能缺损评分较干预前下降,其中研究组下降程度更明显,而基本生活能力、生活质量水平评分较干预前有所提升,其中研究组提升程度更明显,差异有统计学意义(P<0.05)。结论在高血压脑出血合并糖尿病患者中,开展针对性护理干预,可显著减少术后并发症的发生率,改善患者干预后的血压、血糖及神经功能缺损的情况,提升患者的基本生活能力与生活质量,效果理想。

Objective To observe the effect of targeted nursing intervention on improving postoperative complications and prognosis of patients with hypertensive cerebral hemorrhage complicated with diabetes mellitus.Methods A total of 160 hypertensive cerebral hemorrhage and diabetes patients admitted to Sanming Second Hospital from January 2019 to December 2021 were selected as the study subjects,and were divided into two groups of 80 patients in each group by random number table method.Among them,control group carried out routine nursing intervention,and the study group took targeted nursing intervention as.The occurrence of postoperative complications was counted,and the blood pressure levels,blood glucose index levels,neurological deficits,basic living ability scores and quality of life scores were compared between the two groups before and after the intervention.Results The incidence of postoperative complications in the study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).After the intervention,blood pressure levels,blood glucose index levels,and neurological deficit scores in the two groups decreased compared with before the intervention,and the decline in the study group was more obvious,the scores of basic living ability and quality of life were improved compared with before the intervention,especially in the study group,the difference was statistically significant(P<0.05).Conclusion In patients with hypertensive cerebral hemorrhage complicated with diabetes mellitus,carrying out targeted nursing intervention can significantly reduce the incidence of postoperative complications, improve the blood pressure, blood glucose andneurological deficits of patients after intervention, and improve the basic life and quality of life of patients, the effect isideal.