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预见性护理在脑出血重症监护患者中的应用效果

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目的:观察预见性护理在脑出血重症监护患者中的应用效果.方法:选取 2019 年 1 月至 2020 年 12 月该院收治的 38 例脑出血重症监护患者为对照组,选取 2021 年 1 月至 2022 年 8 月该院收治的 38 例脑出血重症监护患者为观察组.对照组实施常规护理,观察组在对照组基础上实施预见性护理.比较两组重症监护时间、住院时间,护理前后神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、生命质量[脑卒中影响量表(SIS)]评分,并发症发生率和护理满意度评分.结果:观察组重症监护时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组NIHSS评分低于对照组,SIS评分高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为 5.26%(2/38),低于对照组的 21.05%(8/38),差异有统计学意义(P<0.05);观察组感知质量、患者预期、患者满意、患者忠诚评分均高于对照组,患者抱怨评分低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上实施预见性护理可提高脑出血重症监护患者生命质量评分和护理满意度,缩短重症监护时间和住院时间,降低神经功能缺损评分和并发症发生率,效果优于单纯常规护理.
Application effects of predictive nursing in intensive care patients with cerebral hemorrhage
Objective:To observe application effects of predictive nursing in intensive care patients with cerebral hemorrhage.Methods:A total of 38 intensive care patients with cerebral hemorrhage admitted to the hospital from January 2019 to December 2020 were selected as the control group,and 38 intensive care patients with cerebral hemorrhage admitted to the hospital from January 2021 to August 2022 were selected as the observation group.The control group was received routine nursing,while the observation group was received the predictive nursing on the basis of that of the control group.The intensive care time,the hospitalization time,the neurological deficit[National Institutes of Health stroke scale(NIHSS)]score,the quality of life[stroke impact scale(SIS)]score before and after the nursing,the incidence of complications,and the nursing satisfaction score were compared between the two groups.Results:The intensive care time and the hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After the nursing,the NIHSS score of the observation group was lower than that of the control group,the SIS score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.26% (2/38),which was lower than 21.05% (8/38)in the control group,and the difference was statistically significant(P<0.05).The scores of perceived quality,patient expectation,patient satisfaction and patient loyalty in the observation group were higher than those in the control group,the score of patient complaints was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the predictive nursing can improve the quality of life scores and the nursing satisfaction of the intensive care patients with cerebral hemorrhage,shorten the intensive care time and the hospitalization time,and reduce the neurological deficit scores and the incidence of complications.Moreover,it is superior to single routine nursing.

Predictive nursingIntensive careCerebral hemorrhageNeurological deficitQuality of lifeComplicationSatisfaction

朱智慧

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开封市第二中医院重症医学科,河南 开封 475000

预见性护理 重症监护 脑出血 神经功能缺损 生命质量 并发症 满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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