医护一体化干预在自发性蛛网膜下腔出血患者中的应用效果

Application effect of integrated medical and nursing intervention in patients with spontaneous subarachnoid hemorrhage

目的探讨医护一体化干预对自发性蛛网膜下腔出血患者康复情况等的影响。方法选取南华大学附属第二医院于2021年3月至2022年3月收治的86例自发性蛛网膜下腔出血患者为研究对象,按抽签法将其分为对照组和观察组,各43例。对照组给予常规干预,观察组基于常规干预给予医护一体化干预。比较2组的康复情况、氧化应激水平、并发症发生情况和护理满意度。结果干预1个月时,2组的格拉斯哥预后量表、蒙特利尔认知评估表及日常活动能力量表评分均较干预前升高(P均<0.05),且观察组均高于对照组(P均<0.05)。干预7 d时,2组的血清丙二醛(MDA)水平均较干预前降低,超氧化物歧化酶(SOD)及谷胱甘肽(GSH)水平均较干预前升高(P均<0.05),且观察组的MDA水平低于对照组,SOD和GSH水平均高于对照组(P均<0.05)。干预1个月时,观察组的并发症总发生率低于对照组(P<0.05)。干预7 d时,2组的护理满意度评分均比干预前升高(P均<0.05),且观察组高于对照组(P<0.05)。结论医护一体化干预可改善自发性蛛网膜下腔出血患者的康复情况和氧化应激水平,提高其护理满意度,且能降低并发症发生率。

Objective To explore the effect of integrated medical and nursing intervention on the rehabilitation of patients with spontaneous subarachnoid hemorrhage.Methods A total of 86 patients with spontaneous subarachnoid hemorrhage admitted to the Second Hospital,University of South China from March 2021 to March 2022 were included in the study.They were divided into a control group and an observation group using the lottery method,each with 43 patients.The control group received routine intervention,and the observation group received integrated medical and nursing intervention based on the routine intervention.The rehabilitation status,oxidative stress level,complications,and nursing satisfaction of the two groups were compared.Results After 1 month of intervention,the scores of the Glasgow Coma Scale,the Montreal Cognitive Assessment,and the Activities of Daily Living Scale in both groups were higher than those before intervention(all P<0.05),and the observation group had higher scores than the control group(all P<0.05).After 7 days of intervention,the serum malondialdehyde(MDA)level in both groups was decreased compared with that before intervention,and the levels of superoxide dismutase(SOD)and glutathione(GSH)were increased compared with those before intervention(all P<0.05).The observation group had a lower MDA level and higher SOD and GSH levels than the control group(all P<0.05).After 1 month of intervention,the total complication rate in the observation group was lower than that in the control group(P<0.05).After 7 days of intervention,the nursing satisfaction scores of both groups were higher than those before intervention(both P<0.05),and the observation group had a higher score than the control group(P<0.05).Conclusion Integrated medical and nursing intervention can improve the rehabilitation and oxidative stress level of patients with spontaneous subarachnoid hemorrhage,enhance their nursing satisfaction,and reduce the complication rate.