集束化护理在脑出血术后患者中的应用效果

Application effects of cluster the nursing in postoperative patients with cerebral hemorrhage

目的:观察集束化护理在脑出血术后患者中的应用效果。方法:回顾性分析2021年8月至2022年9月该院收治的86例脑出血术后患者的临床资料,按照护理方法不同将其分为对照组和观察组各43例。对照组实施常规护理,观察组在对照组基础上实施集束化护理,两组均护理3个月。比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、护理后不同时间Caprini血栓风险评估量表评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度。结果:护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);护理后1、3个月,观察组Caprini血栓风险评估量表评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组躯体功能、心理功能、社会功能、物质生活等GQOLI-74各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.67%(42/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论:集束化护理应用于脑出血术后患者可降低负性情绪评分和Caprini血栓风险评估量表评分,提高生命质量评分和护理满意度,效果优于常规护理。

Objective:To observe application effects of cluster the nursing in postoperative patients with cerebral hemorrhage.Methods:The clinical data of 86 postoperative patients with cerebral hemorrhage admitted to this hospital from August 2021 to September 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,43 cases in each group.The control group was given routine nursing,while the observation group was given the cluster the nursing on the basis of that of the control group.Both groups were treated for 3 months.The scores of negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]before and after the nursing,the scores of Caprini thrombosis risk assessment scale at different time after the nursing,the scores of quality of life[general quality of life inventory-74(GQOLI-74)],and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).1 and 3 months after the nursing,the scores of Caprini thrombosis risk assessment scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of GQOLI-74 dimensions such as physical function,psychological function,social function and material life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.67%(42/43),which was higher than 81.40%(35/43)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The cluster the nursing in the postoperative patients with cerebral hemorrhage can reduce the negative emotion scores and the Caprini thrombosis risk assessment scale scores,and improve the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.