快速康复外科理念综合护理干预在脑出血功能障碍患者中的应用效果研究

Application Effect of Enhanced Recovery After Surgery Concept-based Integrated Nursing Intervention in Patients with Intracerebral Hemorrhage Dysfunction

目的:探讨快速康复外科(ERAS)理念综合护理干预在脑出血(ICH)功能障碍患者中的应用效果。方法:选取2018年1月—2022年6月贵州航天医院神经外科收治的ICH功能障碍患者60例为研究对象,根据随机数字表法分为观察组与对照组,各30例。对照组采用常规护理干预,观察组采用ERAS理念综合护理干预。比较两组患者认知能力、肢体功能、日常生活能力、生存质量。结果:干预后,两组患者简易智力状态量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.001)。干预后,两组患者Fugl-Meyer量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.001)。干预后,两组患者日常生活能力Barthel指数量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.001)。干预后,两组患者健康状况调查简明量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.001)。结论:ERAS理念综合护理干预在ICH功能障碍患者的临床效果显著,能够促进患者快速康复,改善患者认知功能及肢体功能,降低致残风险,减轻疾病负担,提高生活质量。

Objective:To investigate the application effect of enhanced recovery after surgery(ERAS)concept-based integrated nursing intervention in patients with intracerebral hemorrhage(ICH)dysfunction.Methods:A total of 60 patients with ICH dysfunction admitted to Department of Neurosurgery,Guizhou Aerospace Hospital from January 2018 to July 2022 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 30 cases in each group.The control group used conventional nursing intervention and the observation group used the ERAS concept-based integrated nursing intervention.The cognitive ability,limb function,activity of daily living,and quality of life of patients were compared between two groups.Results:After the intervention,the scores of Mini-Mental State Examination in two groups were increased,and the observation group was higher than the control group,and the difference was statistically significant(P<0.001).After the intervention,the scores of the Fugl-Meyer scale in two groups were increased,and the observation group was higher than the control group,and the difference was statistically significant(P<0.001).After the intervention,the scores of the Barthel index of activity of daily living in two groups were increased,and the observation group was higher than the control group,and the difference was statistically significant(P<0.001).After the intervention,the scores of the Short Form 36 Health Survey Questionnaire in two groups were increased,and the observation group was higher than the control group,and the difference was statistically significant(P<0.001).Conclusion:ERAS concept-based integrated nursing intervention has significant clinical effects in patients with ICH dysfunction,it can promote the rapid recovery of patients,improve patients'cognitive function and limb function,reduce the risk of disability,reduce the burden of disease,and improve the quality of life.