围手术期综合护理在行微创颅内血肿清除术患者中的应用效果
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摘要
目的探讨围手术期综合护理应用于微创颅内血肿清除术的效果。方法将我院收治的88例颅内血肿患者根据治疗时间段的不同分为对照组(常规护理)和观察组(围手术期综合护理)。比较两组的护理效果。结果观察组患者的的护理总有效率明显高于对照组(P<0.05);观察组患者疾病不确定感各指标评分及总分均低于对照组(P<0.05);护理后,两组患者的Barthel指数评分及NIHSS评分均明显改善,且观察组优于对照组(P<0.05);观察组患者的并发症总发生率显著低于对照组(P<0.05)。结论围手术期综合护理应用于行微创颅内血肿清除术患者的效果显著,不仅可以提高患者的疾病认知度,改善其疾病不确定感,还可以改善患者的日常生活能力和神经功能,值得临床推广应用。
Objective To investigate the effect of perioperative comprehensive nursing on patients undergoing minimally invasive removal of intracranial hematoma. Methods Eighty-eight patients with intracranial hematoma in our hospital were divided into control group(routine nursing intervention) and observation group(perioperative comprehensive nursing)according to the different treatment period. The nursing effects of the two groups were compared. Results The total effective rate of nursing in the observation group was significantly higher than that in the control group(P<0.05). The scores of each indexes and total score of disease uncertainty in the observation group were lower than those in the control group( P<0.05).After nursing, the Barthel index scores and NIHSS scores of the two groups improved significantly, and those in the observation group were better than the control group(P<0.05). The total incidence of complications in the observation group was lower than that in the control group(P <0.05). Conclusion Perioperative comprehensive nursing applied in patients undergoing minimally invasive removal of intracranial hematoma has a remarkable effect. It can not only improve the patients' disease awareness and uncertainty, but also improve the daily living ability and neurological function, which is worthy of clinical popularition and application.
Objective To investigate the effect of perioperative comprehensive nursing on patients undergoing minimally invasive removal of intracranial hematoma. Methods Eighty-eight patients with intracranial hematoma in our hospital were divided into control group(routine nursing intervention) and observation group(perioperative comprehensive nursing)according to the different treatment period. The nursing effects of the two groups were compared. Results The total effective rate of nursing in the observation group was significantly higher than that in the control group(P<0.05). The scores of each indexes and total score of disease uncertainty in the observation group were lower than those in the control group( P<0.05).After nursing, the Barthel index scores and NIHSS scores of the two groups improved significantly, and those in the observation group were better than the control group(P<0.05). The total incidence of complications in the observation group was lower than that in the control group(P <0.05). Conclusion Perioperative comprehensive nursing applied in patients undergoing minimally invasive removal of intracranial hematoma has a remarkable effect. It can not only improve the patients' disease awareness and uncertainty, but also improve the daily living ability and neurological function, which is worthy of clinical popularition and application.
引文
[1]刘建春.外伤性颅内血肿56例系统化围术期护理[J].齐鲁护理杂志,2016,22(16):90-92.
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[5]袁洲红,仲悦萍,王丽.综合护理干预对颅内血肿清除术病人术后生活质量的影响[J].全科护理,2013,11(16):1487-1488.
[6]刘素菊,梁才干.微创颅内血肿清除术治疗高血压脑出血的优质综合护理效果[J].齐齐哈尔医学院学报,2014,35(24):3721-3723.
[7]张昌碧,胡承菊.Orem自理理论在迟发型颅内血肿护理评估中的应用价值[J].中华现代护理杂志,2013,19(19):2287-2289.
[8]许瑛.护理干预应用于微创颅内血肿清除术的临床效果[J].中华全科医学,2016,14(3):494-495,511.
[2]李银梅.颅内血肿微创清除术在脑出血病人中的应用及护理[J].护理研究,2015,29(21):2674-2675.
[3]姚雅英.微创颅内血肿清除术围术期护理干预的效果[J].中华现代护理杂志,2015,21(1):65-67.
[4]许淑莲,黄秀犁.Mishel疾病不确定感量表之中文版测试[J].护理研究(台湾),1996,4(1):59-68.
[5]袁洲红,仲悦萍,王丽.综合护理干预对颅内血肿清除术病人术后生活质量的影响[J].全科护理,2013,11(16):1487-1488.
[6]刘素菊,梁才干.微创颅内血肿清除术治疗高血压脑出血的优质综合护理效果[J].齐齐哈尔医学院学报,2014,35(24):3721-3723.
[7]张昌碧,胡承菊.Orem自理理论在迟发型颅内血肿护理评估中的应用价值[J].中华现代护理杂志,2013,19(19):2287-2289.
[8]许瑛.护理干预应用于微创颅内血肿清除术的临床效果[J].中华全科医学,2016,14(3):494-495,511.