早期综合护理在高血压脑出血微创穿刺引流术后患者中的应用效果

Effect of Early Comprehensive Nursing Care in Hypertensive Cerebral Hemorrhage after Minimally Invasive Puncture and Drainage Surgery

目的:分析早期综合护理在高血压脑出血高血压脑出血(HICH)微创穿刺引流术后患者中的应用效果。方法:选取2021年1月—2023年1月贵州医科大学附属医院收治的78例HICH患者作为研究对象,以随机数字表法分为对照组与观察组,各39例。两组均行微创穿刺引流术治疗,对照组采用常规护理,观察组采用早期综合护理。比较两组护理效果。结果:观察组并发症总发生率低于对照组,差异有统计学意义(P=0.033)。护理前,两组Glasgow昏迷量表、改良Barthel指数量表评分比较,差异无统计学意义(P>0.05);护理后,两组Glasgow昏迷量表、改良Barthel指数量表评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P=0.013)。结论:早期综合护理用在HICH微创穿刺引流术后患者中的应用效果理想,可减少并发症,减轻患者意识障碍,提升患者自理能力与满意度。

Objective:To analyze the application effect of early comprehensive nursing in patients with hypertensive cerebral hemorrhage after minimally invasive puncture drainage for hypertensive cerebral hemorrhage(HICH).Methods:78 patients with HICH admitted to the Affiliated Hospital of Guizhou Medical University from January 2021 to January 2023 were selected as the study subjects,and were divided into the control group and the observation group,each with 39 cases,by the method of randomized numerical table.Both Groups were treated with minimally invasive puncture and drainage,the control group used conventional nursing,and the observation group used early comprehensive nursing.the nursing effect of the two groups were compared.Results:The total complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.033).The Glasgow Coma Scale and Modified Barthel Index Scale scores of the two groups before nursing care were compared,and the difference was not statistically significant(P>0.05);after nursing care the Glasgow Coma Scale and Modified Barthel Index Scale scores of the two groups were higher than those before nursing care,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The total satisfaction of nursing care in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.013).Conclusion:The application of early comprehensive nursing care in patients after minimally invasive puncture and drainage of HICH is ideal,which can reduce complications,alleviate patients'consciousness disorder,and improve patients'self-care ability and satisfaction.