基于老年综合评估的护理在急性脑出血患者中的应用

Application of nursing based on comprehensive geriatric assessment of elderly patients with acute cerebral hemorrhage

目的:探讨基于老年综合评估的护理在急性脑出血患者中的应用效果。方法:选取2021年7月至2022年6月在我院治疗的72例急性脑出血老年患者作为对照组,选取2022年7月至2023年6月在我院治疗的77例急性脑出血老年患者作为综合评估组。对照组采用急性脑出血常规护理模式进行护理,综合评估组在对照组的基础上应用基于老年综合评估的护理模式,比较两组并发症与不良事件发生率、家庭照顾负担及日常生活能力评分。结果:护理后,综合评估组并发症及不良事件发生率为11.7%,低于对照组的36.1%(P<0.05);护理后,综合评估组家庭照顾负担各维度评分及总分均低于对照组,日常生活能力评分高于对照组(P<0.05)。结论:基于老年综合评估的护理应用于急性脑出血患者,可降低并发症及不良事件发生率,缓解家庭照顾负担,提升急性脑出血患者的日常生活能力。

Objective:To explore the application effect of nursing based on comprehensive geriatric assessment(CGA)of the elderly in patients with acute cerebral hemorrhage.Methods:72 elderly patients with acute cerebral hemorrhage treated in our hospital from July 2021 to June 2022 were selected as the control group,and 77 elderly patients with acute cerebral hemorrhage treated in our hospital from July 2022 to June 2023 were selected as the comprehensive evaluation group.The control group received routine nursing care for acute cerebral hemorrhage,while the comprehensive evaluation group applied a nursing model based on CGA on the basis of the control group.The incidence of complications and adverse events,family care burden score,and daily living ability score were compared between the two groups.Results:After nursing,the incidence of complications and adverse events in the comprehensive evaluation group was lower than that in the control group(11.7%vs 36.1%,P<0.05).After nursing,the total score and the scores of various dimensions of family care burden in the comprehensive evaluation group were lower than those in the control group,and the daily living ability score was higher than that in the control group(P<0.05).Conclusion:The application of nursing based on CGA in patients with acute cerebral hemorrhage can reduce the incidence of complications and adverse events,alleviate the burden of family care,and improve the daily living ability of patients with acute cerebral hemorrhage.