个体化护理对高血压脑出血微创手术患者遵医行为及护理满意度的影响
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摘要
目的探究与分析个体化护理对高血压脑出血微创手术患者遵医行为及护理满意度的影响。方法选取哈尔滨医科大学附属第一医院2015年1月~2017年1月接受微创手术治疗的高血压脑出血患者90例,采取随机数字表法将其分为对照组和观察组,每组各45例。对照组给予常规护理,观察组给予个体化护理,两组均连续护理1个月。比较两组患者的遵医行为、护理满意度以及并发症发生率。结果观察组总遵医嘱率(93.33%)明显高于对照组(75.56%),差异有统计学意义(P<0.05)。观察组护理满意度(91.11%)明显高于对照组(73.33%),差异有统计学意义(P<0.05)。观察组并发症发生率(8.89%)低于对照组(22.22%),差异有统计学意义(P<0.05)。结论个体化护理能改善高血压脑出血微创手术患者的遵医行为,提高护理满意度,降低并发症发生率,安全性较高。
Objective To explore and analyze the effects of individualized nursing care on compliance behavior and nursing satisfaction in hypertensive cerebral hemorrhage patients with minimally invasive surgery. Methods Ninety cases of patients with hypertensive cerebral hemorrhage underwent minimally invasive surgery in the First Affiliated Hospital of Harbin Medical University from January 2015 to January 2017 were selected, and they were divided into control group and observation group by random number table, with 45 cases in each group. The control group was given routine nursing care, while the observation group was given individualized nursing care. Both groups were given continuous nursing for 1 month. The compliance behavior, nursing satisfaction and the incidence of complications between the two groups were compared. Results The total rate of compliance behavior in the observation group(93.33%) was higher than that of control group(75.56%), with statistically significant difference(P < 0.05). The rate of nursing satisfaction in the observation group(91.11%) was higher than that of control group(73.33%), with statistically significant difference(P < 0.05). The incidence of complications in the observation group(8.89%) was higher than that of control group(22.22%),with statistically significant difference(P < 0.05). Conclusion The individualized nursing care can improve the compliance behavior of hypertensive cerebral hemorrhage patients with minimally invasive surgery, promote the nursing satisfaction,reduce the incidence of complications, and it is more safer.
Objective To explore and analyze the effects of individualized nursing care on compliance behavior and nursing satisfaction in hypertensive cerebral hemorrhage patients with minimally invasive surgery. Methods Ninety cases of patients with hypertensive cerebral hemorrhage underwent minimally invasive surgery in the First Affiliated Hospital of Harbin Medical University from January 2015 to January 2017 were selected, and they were divided into control group and observation group by random number table, with 45 cases in each group. The control group was given routine nursing care, while the observation group was given individualized nursing care. Both groups were given continuous nursing for 1 month. The compliance behavior, nursing satisfaction and the incidence of complications between the two groups were compared. Results The total rate of compliance behavior in the observation group(93.33%) was higher than that of control group(75.56%), with statistically significant difference(P < 0.05). The rate of nursing satisfaction in the observation group(91.11%) was higher than that of control group(73.33%), with statistically significant difference(P < 0.05). The incidence of complications in the observation group(8.89%) was higher than that of control group(22.22%),with statistically significant difference(P < 0.05). Conclusion The individualized nursing care can improve the compliance behavior of hypertensive cerebral hemorrhage patients with minimally invasive surgery, promote the nursing satisfaction,reduce the incidence of complications, and it is more safer.
引文
[1]肖艾军.优质护理理念在提升高血压脑出血患者围术期综合护理质量中的效果观察[J].实用临床医药杂志,2014,18(6):77-79.
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[7]陆冬梅.优质护理在高血压脑出血患者护理中的运用[J].航空航天医学杂志,2013,24(3):379-380.
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[11]朱素琴,陈松芳.综合性心理护理干预对高血压脑出血患者治疗遵医行为、并发症、护理满意度和预后的影响[J].中国现代医生,2014,52(6):90-91.
[12]陈旭红.认知护理干预在治疗脑出血患者中的效果观察[J].中国医疗前沿,2012,7(15):76-77.
[13]吕雄,董杰,张旭.护理干预在老年高血压患者中的效果[J].中国医药导报,2015,12(8):90-91.
[14]孙雪春.综合护理干预脑出血术后患者的疗效评价[J].实用心脑肺血管病杂志,2012,20(10):1714-1715.
[15]向世明,任冬云,陈群芳.护理干预对脑出血患者并发症和不良事件发生率的作用[J].中国美容医学,2012,21(11):288-289.
[16]卢远新,韦玉玲,黎彩芬.高血压脑出血的术后个性化护理[J].现代医院,2015,15(4):97-98.
[17]陈君霞,王慧梅,刘杨君,等.综合护理干预对高血压脑出血患者术后康复和心理状态的影响研究[J].中国现代医生,2016,54(8):146-149,153.
[18]李小华.高血压脑出血患者气管内吸引并发症的观察与护理[J].现代医药卫生,2013,29(19):2984-2985.
[19]李莉.康复护理干预在高血压脑出血后遗症患者中的应用[J].中外医学研究,2015,13(32):126-127.
[20]顾彩萍,倪志宏,马颖君,等.综合护理措施对高血压脑出血患者实施微创手术的护理效果[J].护士进修杂志,2015,30(14):1311-1312.
[21]黄伟珍,贾晓雁.高血压脑出血行小骨窗开颅血肿清除术的围术期护理干预效果观察[J].中国现代医生,2015,53(16):131-133,137.
[22]魏弟兰.预见性护理在高血压脑出血围手术期患者护理中的应用[J].中外医学研究,2017,15(9):76-78.
[23]邓优群.临床护理路径在高血压脑出血微创手术患者中的应用[J].深圳中西医结合杂志,2015,25(15):90-91.
[24]代书敏.高血压脑出血微创清除手术的护理分析[J].中国实用神经疾病杂志,2016,19(6):90-91.
[25]任伟.微创颅内血肿清除术治疗高血压脑出血围手术期护理效果体会[J].临床医药文献电子杂志,2016,3(36):45-46.
[2]陆燕.优质护理服务在高血压脑出血患者中的应用效果[J].蚌埠医学院学报,2013,38(3):366-367.
[3]中华医学会第四届全国脑血管病学术会议.各类脑血管病诊断要点[J].中华神经内科杂志,1996,29(6):379.
[4]陈亚莉.微创颅内血肿清除治疗高血压脑出血术后护理体会[J].吉林医学,2013,34(30):6421-6422.
[5]李龙,蔡邵帅,杨金庆.持续颅内压监测应用于高血压性脑出血治疗的价值分析[J].中国实用医药,2015,10(13):86-87.
[6]李岩.微创手术治疗高血压脑出血护理与康复训练体会[J].中国现代药物应用,2016,10(4):224-225.
[7]陆冬梅.优质护理在高血压脑出血患者护理中的运用[J].航空航天医学杂志,2013,24(3):379-380.
[8]范红,刘旭,郑仲乾.微创术治疗高血压脑出血综合护理干预效果分析[J].护士进修杂志,2012,27(18):1681-1682.
[9]安丽.高血压性脑出血微创手术治疗的护理[J].当代医学,2015,21(28):94-95.
[10]杨丽.高血压脑出血微创手术治疗高血压脑出血的护理措施及效果[J].世界最新医学信息文摘,2016,16(82):339-340.
[11]朱素琴,陈松芳.综合性心理护理干预对高血压脑出血患者治疗遵医行为、并发症、护理满意度和预后的影响[J].中国现代医生,2014,52(6):90-91.
[12]陈旭红.认知护理干预在治疗脑出血患者中的效果观察[J].中国医疗前沿,2012,7(15):76-77.
[13]吕雄,董杰,张旭.护理干预在老年高血压患者中的效果[J].中国医药导报,2015,12(8):90-91.
[14]孙雪春.综合护理干预脑出血术后患者的疗效评价[J].实用心脑肺血管病杂志,2012,20(10):1714-1715.
[15]向世明,任冬云,陈群芳.护理干预对脑出血患者并发症和不良事件发生率的作用[J].中国美容医学,2012,21(11):288-289.
[16]卢远新,韦玉玲,黎彩芬.高血压脑出血的术后个性化护理[J].现代医院,2015,15(4):97-98.
[17]陈君霞,王慧梅,刘杨君,等.综合护理干预对高血压脑出血患者术后康复和心理状态的影响研究[J].中国现代医生,2016,54(8):146-149,153.
[18]李小华.高血压脑出血患者气管内吸引并发症的观察与护理[J].现代医药卫生,2013,29(19):2984-2985.
[19]李莉.康复护理干预在高血压脑出血后遗症患者中的应用[J].中外医学研究,2015,13(32):126-127.
[20]顾彩萍,倪志宏,马颖君,等.综合护理措施对高血压脑出血患者实施微创手术的护理效果[J].护士进修杂志,2015,30(14):1311-1312.
[21]黄伟珍,贾晓雁.高血压脑出血行小骨窗开颅血肿清除术的围术期护理干预效果观察[J].中国现代医生,2015,53(16):131-133,137.
[22]魏弟兰.预见性护理在高血压脑出血围手术期患者护理中的应用[J].中外医学研究,2017,15(9):76-78.
[23]邓优群.临床护理路径在高血压脑出血微创手术患者中的应用[J].深圳中西医结合杂志,2015,25(15):90-91.
[24]代书敏.高血压脑出血微创清除手术的护理分析[J].中国实用神经疾病杂志,2016,19(6):90-91.
[25]任伟.微创颅内血肿清除术治疗高血压脑出血围手术期护理效果体会[J].临床医药文献电子杂志,2016,3(36):45-46.