预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响
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摘要
目的探讨预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响。方法收集80例老年高血压脑出血患者随机分为2组,常规组采用常规护理,预防性护理组采用预防性护理干预,比较2组患者神经与运动功能、感染率、非感染性并发症、满意度与日常生活能力。结果预防性护理组干预后上肢肌力、下肢肌力与总FMA评分均显著高于常规组,NIHSS评分显著低于常规组(P<0.05);预防性护理组的总感染率和总体非感染性并发症发生率显著低于常规组(P<0.05);预防性护理组的满意度和末期随访ADL总分显著高于常规组(P<0.05)。结论预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响效果显著。
Objective To investigate the effect of preventive nursing intervention on postoperative infection rate and satisfaction in elderly patients with hypertensive cerebral hemorrhage.Methods A total of 80 senile patients with hypertensivecerebral hemorrhage admitted to our hospital were randomly divided into two groups.The routine group received routine nursing,and the preventive nursing group received preventive nursing intervention.Neurological and motor function,infection rate,non-infectious complications,satisfaction and daily living ability were compared.Results The upper and lower limb muscle strength and total Fugl-Meyer Scale(FMA) scores were significantly higher,and the National Institutes of Health Stroke Scale(NIHSS) score was significantly lower in the preventive nursing group than those in the conventional group;the total infection rate,and incidence of non-infectious complication were significantly lower than that in the routine group;the satisfaction rate and Activity of Daily Life Scale(ADL) were significantly better than that of the routine group(P<0.05).Conclusion Preventive nursing intervention has a significant effect on the incidence of postoperative infection and satisfaction in elderly patients with hypertensive cerebral hemorrhage.
Objective To investigate the effect of preventive nursing intervention on postoperative infection rate and satisfaction in elderly patients with hypertensive cerebral hemorrhage.Methods A total of 80 senile patients with hypertensivecerebral hemorrhage admitted to our hospital were randomly divided into two groups.The routine group received routine nursing,and the preventive nursing group received preventive nursing intervention.Neurological and motor function,infection rate,non-infectious complications,satisfaction and daily living ability were compared.Results The upper and lower limb muscle strength and total Fugl-Meyer Scale(FMA) scores were significantly higher,and the National Institutes of Health Stroke Scale(NIHSS) score was significantly lower in the preventive nursing group than those in the conventional group;the total infection rate,and incidence of non-infectious complication were significantly lower than that in the routine group;the satisfaction rate and Activity of Daily Life Scale(ADL) were significantly better than that of the routine group(P<0.05).Conclusion Preventive nursing intervention has a significant effect on the incidence of postoperative infection and satisfaction in elderly patients with hypertensive cerebral hemorrhage.
引文
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[16]陈惠霞,张淑霞,鞠兆丽,等.早期康复护理对高血压脑出血患者术后凝血相关并发症的预防效果[J].国际医药卫生导报,2017,23(22):3638-3641.
[17]曹樱花,赵晓辉,王颖琪,等.预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响[J].中国医药导报,2012,9(23):138-139.
[18]卓礼霞,赵展,黄敏华,等.护理干预预防钻孔引流治疗高血压脑出血术后并发症的效果[J].广东医学,2015,36(15):2444-2446.
[19]王秀琴,王莹,姚月荣,等.高血压引发脑出血的预防及合并症的治疗与护理[J].锦州医科大学学报,2016,37(6):94-96.
[20]何绍坤,陆显祯陆,赵璧,等.神经内镜辅助下高血压脑出血手术治疗临床应用研究[J].中国急救医学,2017,37(z1):62-63.
[2]谢卫红.早期护理干预对高血压脑出血患者术后康复的影响[J].中国基层医药,2013,20(4):618-619.
[3]中华医学会第四届全国脑血管病学术会议.各项脑血管病诊断要点[J].中华神经内科杂志,1996,29(6):379-379.
[4]王宁,黄书岚.小骨窗开颅术治疗老年高血压脑出血临床研究[J].中国实用神经疾病杂志,2016,19(11):27-29.
[5]王贵春,吕波,曹永胜,等.老年高血压脑出血的小骨窗开颅的疗效分析[J].立体定向和功能性神经外科杂志,2017,30(2):90-92.
[6]陈瑞全,吴建贤,沈显山,等.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):519-521,522.
[7]孙丽.ADL、MMSE、GDS量表在老年患者入院评估中的联合应用[J].护理学杂志,2013,28(13):53-54.
[8]Yao M,HervéD,Allili N,et al.NIHSS scores in ischemic small vessel disease:a study in CADASIL[J].Cerebrovasc Dis,2012,34(5/6):419-423.
[9]申良荣,黎巧玲.患者对护理工作满意度调查问卷设计及统计分析[J].中国实用护理杂志,2007,23(26):69-71.
[10]白海霞.综合护理预防高血压脑出血患者肺部感染的效果分析[J].中国实用神经疾病杂志,2016,19(22):138-139.
[11]柯燕燕,马丽萍,蒲萍,等.综合护理高血压脑出血患者预防肺部感染的体会[J].实用医院临床杂志,2014,11(1):174-175.
[12]高明霞,王鲜茹,耿晓平,等.高血压脑出血患者预防肺部感染的护理研究[J].护理学,2018,7(4):142-145.
[13]江岳珊,肖玲,林少斌,等.高血压脑出血患者便秘预防中循证护理的应用价值分析[J].国际医药卫生导报,2017,23(11):1778-1780.
[14]莫怀飘,刘彬玉,吴丽娟.高血压脑出血血肿微创清除术后并发症的预防及护理[J].现代医药卫生,2014,30(12):1866-1867.
[15]鞠春芳,步立强,王哲海,等.高血压脑出血患者预防肺部感染的护理研究[J].中华医院感染学杂志,2015,25(6):1318-1319,1325.
[16]陈惠霞,张淑霞,鞠兆丽,等.早期康复护理对高血压脑出血患者术后凝血相关并发症的预防效果[J].国际医药卫生导报,2017,23(22):3638-3641.
[17]曹樱花,赵晓辉,王颖琪,等.预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响[J].中国医药导报,2012,9(23):138-139.
[18]卓礼霞,赵展,黄敏华,等.护理干预预防钻孔引流治疗高血压脑出血术后并发症的效果[J].广东医学,2015,36(15):2444-2446.
[19]王秀琴,王莹,姚月荣,等.高血压引发脑出血的预防及合并症的治疗与护理[J].锦州医科大学学报,2016,37(6):94-96.
[20]何绍坤,陆显祯陆,赵璧,等.神经内镜辅助下高血压脑出血手术治疗临床应用研究[J].中国急救医学,2017,37(z1):62-63.