预防蛛网膜下腔出血再发的护理

Recovery Nursing Investigation Preventing Recurrence of Subarachnoid Hemorrhage

目的 评估预防蛛网膜下出血 (SubarachnoidHemorrhage ,SAH )再发的护理的方法。方法 通过对 96例SAH患者详细的临床观察 ,掌握SAH再发的临床表现 ,实施消除病因、心理护理、杜绝不必要的探视、卧床休息 4～ 6W等护理 ,避免增加腹压、防治并发症、加强与患者社区治疗点联系、坚持随访。结果 在我院治疗的SAH患者仅有 2 .4 %的再发。结论 SAH患者的康复护理是减少SAH再发。

Objective To evaluate the recovery nursing processes preventing recurrence of subarachnoid hemorrhage(SAH). Methods The clinical features of recurring SAH were summarized by observing the clinical manifestations in 96 patients. Recovery nursing processes were carried out. All patients were persuaded to stay in bed for 4～6 weeks after onset of SAH. Unnecessary visit was strictly prevented. Mental nursing was also emphasized. The key procedure was reducing the risk factors of the recurrence, such as avoiding to increase abdominal pressure, preventing complications, following up, keeping in contact with patients community. Results The recurrence rate of SAH in our hospital is 2.4 percent. Conclusions The recovery nursing is very important in preventing the recurrence of SAH and reducing the death rate.