基于患者需求的全方位护理干预结合集束化管理策略在高血压脑出血围术期的应用效果

Application effect of comprehensive nursing intervention based on patient needs combined with cluster management strategy in perioperative period of hypertensive cerebral hemorrhage

目的 探讨基于患者需求的全方位护理干预结合集束化管理策略在高血压脑出血围术期的应用效果。方法 选择2020年3月至2023年2月收治的100例高血压脑出血患者为研究对象,按照随机数字表法将其分为对照组与观察组,各50例。对照组接受常规护理干预,观察组在对照组基础上实施基于患者需求的全方位护理干预结合集束化管理策略。比较两组的干预效果。结果 干预后,观察组的康复锻炼依从性量表及自我效能感量表(GSES)评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的上肢功能、下肢功能评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的卒中专用生活质量量表(SS-QOL)、Barthel指数(BI)评分高于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论 基于患者需求的全方位护理干预结合集束化管理策略可提高高血压脑出血患者的康复锻炼依从性及自我效能感,促进肢体功能恢复,提升生活质量及生活能力,减少并发症。

Objective To explore the application effect of comprehensive nursing intervention based on patient needs combined with cluster management strategy in perioperative period of hypertensive cerebral hemorrhage.Methods A total of 100 patients with hypertensive cerebral hemorrhage admitted from March 2020 to February 2023 were selected as the research objects and divided into control group and observation group according to the random number table method,with 50 cases in each group.The control group received routine nursing intervention,and the observation group implemented comprehensive nursing intervention based on patient needs combined with cluster management strategy on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of rehabilitation exercise compliance scale and General Self-Efficacy Scale(GSES)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of upper limb function and lower limb function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Stroke Specific Quality of Life(SS-QOL)and Barthel Index(BI)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The comprehensive nursing intervention based on patient needs combined with cluster management strategy can improve the rehabilitation exercise compliance and self-efficacy of patients with hypertensive cerebral hemorrhage,promote the recovery of limb function,elevate the quality of life and living ability,and reduce complications.