应用脱水治疗脑出血颅内高压患者的护理干预
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摘要
目的应用脱水治疗脑出血颅内高压患者的护理干预。方法选择我院于2015年8月～2018年1月间收治的81例脑出血颅内高压患者,均给予基础脱水治疗,按照随机数字表法将患者划分为观察组41例与对照组40例,回顾性分析患者一般资料,评价患者治疗效果、护理满意率、并发症发生率及SAS焦虑评分。结果观察组患者基本痊愈率30例(73.17%),高于对照组18例(45.00%)(χ~2=16.413,P <0.05);观察组患者非常满意31例(75.61%),高于对照组17例(42.50%)(χ~2=22.669,P <0.05)。观察组患者并发症发生率6例(14.63%),明显低于对照组15例(37.50%)(χ~2=13.570,P <0.05)。入院时两组患者SAS评分结果比较差异无统计学意义(t=0.902,P> 0.05);出院时观察组患者SAS评分低于对照组(t=17.740,P<0.05)。结论为脑出血合并颅内高压患者提供脱水治疗同时加强护理干预,可有效提高患者满意率、改善不良情绪,降低并发症发生率,改善疾病预后。
Objective To Intervention the nursing care of intracranial hypertension patients with cerebral hemorrhage treated by dehydration. Methods Eighty-one patients with intracranial hypertension with cerebral hemorrhage admitted to our hospital from August 2015 to January 2018 were given basic dehydration treatment,according to the random number table method,the patients were divided into observation group 41 cases and control group 40 cases.The general data of patients were retrospectively analyzed,and the therapeutic effect,nursing satisfaction rate,complication rate and SAS anxiety score were evaluated. Results The basic cure rate of the observation group was 30 cases(73.17%),which was higher than that of the control group 18 cases(45.00%)(χ~2=16.413,P < 0.05);31 cases(75.61%)in the observation group were very satisfied,which was higher than 17 cases(42.50%)in the control group(χ~2=22.669,P < 0.05).The incidence of complications in 6 patients(14.63%)in the observation group was significantly lower than that in 15 patients(37.50%)in the control group(χ~2=13.570,P < 0.05),there was no significant difference in SAS score between the two groups at admission(t=0.902,P > 0.05);The SAS score of the observation group was lower than that of the control group at the time of discharge(t=17.740,P < 0.05). Conclusion Providing dehydration treatment and strengthening nursing intervention for patients with cerebral hemorrhage and intracranial hypertension can effectively improve patients' satisfaction rate,improve bad mood,reduce the incidence of complications and improve the prognosis of the disease.
Objective To Intervention the nursing care of intracranial hypertension patients with cerebral hemorrhage treated by dehydration. Methods Eighty-one patients with intracranial hypertension with cerebral hemorrhage admitted to our hospital from August 2015 to January 2018 were given basic dehydration treatment,according to the random number table method,the patients were divided into observation group 41 cases and control group 40 cases.The general data of patients were retrospectively analyzed,and the therapeutic effect,nursing satisfaction rate,complication rate and SAS anxiety score were evaluated. Results The basic cure rate of the observation group was 30 cases(73.17%),which was higher than that of the control group 18 cases(45.00%)(χ~2=16.413,P < 0.05);31 cases(75.61%)in the observation group were very satisfied,which was higher than 17 cases(42.50%)in the control group(χ~2=22.669,P < 0.05).The incidence of complications in 6 patients(14.63%)in the observation group was significantly lower than that in 15 patients(37.50%)in the control group(χ~2=13.570,P < 0.05),there was no significant difference in SAS score between the two groups at admission(t=0.902,P > 0.05);The SAS score of the observation group was lower than that of the control group at the time of discharge(t=17.740,P < 0.05). Conclusion Providing dehydration treatment and strengthening nursing intervention for patients with cerebral hemorrhage and intracranial hypertension can effectively improve patients' satisfaction rate,improve bad mood,reduce the incidence of complications and improve the prognosis of the disease.
引文
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[10]陈占玲.探讨优质护理结合预见性护理在老年高血压性脑出血患者中的应用效果[J].中西医结合心血管病电子杂志,2015,3(21):191-192.
[11]杨建设.临床护理路径在脑出血患者护理中的应用[J].中国实用神经疾病杂志,2017,20(13):105-106.
[12]李玲,乔晓丽.脑出血患者护理中优质护理服务模式的临床应用效果[J].临床医学研究与实践,2017,2(22):167-168.
[13]刘瑞清.优质护理用于脑出血护理的效果分析[J].中国实用医药,2017,12(20):152-153.
[14]刘洁,连平.优质护理干预在老年重症脑出血患者中的应用[J].齐鲁护理杂志,2017,23(17):90-91.
[15]陈天涯.优质护理在高血压脑出血患者护理中的运用研究[J].中西医结合心血管病电子杂志,2017,5(9):55-56.
[2]皮英,唐丽君,周素珍,等.延续性护理辅助药物治疗对脑出血患者神经功能及生活质量的影响[J].实用医院临床杂志,2016,13(1):66-68.
[3]李慧萍,秦泽红,赵晖,等.脑出血患者早期康复治疗对神经功能、肢体活动程度、自理能力的影响[J].国际护理学杂志,2016,35(7):937-939.
[4]朱桂萍,余喜红.延续性护理辅助药物治疗在脑出血患者中的应用及对神经功能缺损和治疗依从性的影响[J].泰山医学院学报,2017,38(12):1411-1413.
[5]薛春.综合性护理干预对高血压脑出血患者促醒效果和生存质量的影响[J].中国实用神经疾病杂志,2016,19(8):133-134.
[6]唐云红.急性期脑出血患者应用程序化护理干预的临床效果观察[J].国际护理学杂志,2017,36(1):37-39.
[7]魏晓兰.预防性护理对脑出血患者并发症的作用[J].中国实用神经疾病杂志,2016,19(7):131-132.
[8]徐留庄,赵华.程序化护理干预对急性期脑出血患者治疗效果的影响[J].中国医药导报,2017,14(5):165-168.
[9]雷丽君.预见性护理在脑出血患者中的应用体会[J].中国实用神经疾病杂志,2017,20(2):129-131.
[10]陈占玲.探讨优质护理结合预见性护理在老年高血压性脑出血患者中的应用效果[J].中西医结合心血管病电子杂志,2015,3(21):191-192.
[11]杨建设.临床护理路径在脑出血患者护理中的应用[J].中国实用神经疾病杂志,2017,20(13):105-106.
[12]李玲,乔晓丽.脑出血患者护理中优质护理服务模式的临床应用效果[J].临床医学研究与实践,2017,2(22):167-168.
[13]刘瑞清.优质护理用于脑出血护理的效果分析[J].中国实用医药,2017,12(20):152-153.
[14]刘洁,连平.优质护理干预在老年重症脑出血患者中的应用[J].齐鲁护理杂志,2017,23(17):90-91.
[15]陈天涯.优质护理在高血压脑出血患者护理中的运用研究[J].中西医结合心血管病电子杂志,2017,5(9):55-56.