多感官促醒护理在高血压性脑出血术后昏迷患者中的应用效果

Application effect of multi-sensory awakening nursing in patients with coma after hypertensive cerebral hemorrhage

目的:观察多感官促醒护理在高血压性脑出血术后昏迷患者中的应用效果。方法:选取2019年8月至2020年8月该院收治的80例高血压性脑出血术后昏迷患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各40例。对照组采用常规护理,研究组在对照组基础上采用多感官促醒护理,比较两组格拉斯哥昏迷评分(GCS)、功能障碍评分(DFS)、苏醒时间、并发症发生率和家属护理满意度。结果:护理后,两组GCS评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后,两组DFS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组苏醒时间短于对照组,差异有统计学意义(P<0.05);研究组家属护理满意度为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:在常规护理基础上采用多感官促醒护理可提高高血压性脑出血术后昏迷患者的GCS评分和家属护理满意度,缩短其苏醒时间,以及降低其DFS评分,效果优于单纯常规护理。

Objective:To observe application effects of multi-sensory awakening nursing in patients with coma after hypertensive cerebral hemorrhage.Methods:A prospective study was conducted on 80 patients with coma after hypertensive cerebral hemorrhage admitted to the hospital from August 2019 to August 2020.They were divided into study group and control group according to the random number table method.40 cases in each group.The control group was given routine nursing,while the study group was given multi-sensory awakening nursing on the basis of that of the control group.The Glasgow coma score(GCS),the dysfunction score(DFS),the recovery time,the incidence of complications,and the nursing satisfaction of family members were compared between the two groups.Results:After the nursing,the GCS scores of the two groups were higher than those before the nursing,and the study group was higher than the control group,the difference was statistically significant(P<0.05).After nursing,the DFS scores of the two groups were lower than those before nursing,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).The recovery time of the study group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of family members in the study group was 97.50%,which was significantly higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:On the basis of the routine nursing,the multi-sensory awakening nursing can improve the GCS scores and nursing satisfaction of family members of the patients with coma after hypertensive cerebral hemorrhage,shorten the recovery time and reduce the DFS scores.Moreover,it is superior to single routine nursing.