脑出血术后患者社会支持、并发症发生与生活质量的相关性研究

Correlation Study Between Social Support,Incidence of Complications and Life Quality of Postoperative Patients with Cerebral Hemorrhage

目的探讨脑出血术后患者社会支持、并发症发生与生活质量现状并分析三者间的相关性。方法选取2018年2月—2023年2月本院神内ICU收治的88例脑出血术后患者为研究对象,采用一般资料问卷、社会支持评估量表、世界卫生组织生活质量测定简表对入组患者/家属进行调查,采用Pearson相关分析社会支持、并发症发生与生活质量三者间的相关性。结果88例患者中,基底节区出血71例,丘脑出血15例,小脑出血破入脑室2例。问卷调查结果显示:社会支持得分(32.42±6.33)分;脑出血术后患者共有43例住院期间发生不同程度的并发症,并发症发生率为48.86%;脑出血术后患者生活质量得分(50.36±9.23)分。脑出血患者社会支持得分、并发症发生均与生活质量得分显著相关,相关系数分别为0.411、-0.386。结论脑出血术后患者社会支持处于中等水平、并发症发生率较高,有待医务人员积极干预,生活质量处于中低水平。临床护士可根据本研究结果,利用三者间的相互关系,采取多种手段,包括向家属提供疾病相关信息、降低其不确定性以提高其社会支持程度,来提高患者生活质量,促进其康复。

Objective To explore status of social support,incidence of complications and life quality of postoperative patients with cerebral hemorrhage,and analyze relationship between them.Methods The paper chose 88 postoperative patients with cerebral hemorrhage admitted to ICU of our hospital from February 2018 to February 2023 as research subjects,and carried on survey of enrolled patients/family members with general information questionnaire,social support assessment scale,incidence of complications,and World Health Organization life quality assessment questionnaire,and analyzed correlation between social support,incidence of complications and life quality with Pearson correlation.Results Among the 88 patients,there were 71 cases of basal ganglia hemorrhage,15 cases of thalamic hemorrhage,and 2 cases of cerebellar hemorrhage breaking into the ventricles.Survey results showed social support scores were(32.42±6.33)points;43 cases with cerebral hemorrhage had various degrees of complications during hospitalization after surgery,with a complication rate of 48.86%.Postoperative life quality scores of patients with cerebral hemorrhage were(50.36±9.23)points.There was significant correlation between the social support scores and incidence of complications and life quality scores of patients with cerebral hemorrhage,with correlation coefficients of r=0.411 and r=-0.386 respectively.Conclusion Social support of postoperative patients with cerebral hemorrhage is at a moderate level,with high incidence of complications,it is necessary for medical staff to carry on active intervention.Life quality of patients is at a medium to low level.Based on the results of the study,clinical nurses can improve social support level of patients with relationships among the three and various means,including providing disease-related information to family members,reducing uncertainty,which is beneficial for improving life quality and promoting recovery of patients.