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多元化激励干预在重型脑外伤合并高血压护理中的应用效果

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目的:探讨多元化激励干预在重型脑外伤合并高血压护理中的应用效果.方法:选取2021年6月—2023年6月福建医科大学附属第一医院接收的 94 例重型脑外伤合并高血压患者作为研究对象,参照随机数表法将其分为对照组与研究组,各 47 例.对照组给予综合护理干预,研究组在对照组基础上给予多元化激励干预,比较两组抑郁发生率、临床指标及神经功能恢复情况.结果:研究组抑郁发生率为 6.39%,低于对照组的 25.33%,差异有统计学意义(P<0.05).干预前,两组平均动脉压、颅内压及脑灌注压水平、美国国立卫生研究院卒中量表(NIHSS)评分比较,差异无统计学意义(P>0.05);干预后,两组平均动脉压、颅内压水平及NIHSS评分低于干预前,且研究组低于对照组,两组脑灌注压水平高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05).结论:重型脑外伤合并高血压患者给予多元化激励干预,能明显减轻抑郁症状,降低平均动脉压及颅内压水平,避免脑灌注不足,从而促进神经功能恢复,改善预后.
Application Effect of Diversified Incentive Intervention in Nursing of Severe Brain Injury Complicated with Hypertension
Objective:To explore the application effect of diversified incentive intervention in the nursing of severe brain injury complicated with hypertension.Method:A total of 94 patients with severe brain injury complicated with hypertension who treated in the First Affiliated Hospital of Fujian Medical University from June 2021 to June 2023 were selected as the study objects,and they were divided into the control group and the study group according to random number table method,47 cases in each group.The control group was given comprehensive nursing intervention,and the study group was given diversified incentive intervention on the basis of the control group,the incidence of depression,clinical indicators and neurological function recovery were compared between two groups.Result:The incidence of depression in the study group was 6.39%,which was lower than 25.33%in the control group,the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in average arterial pressure,intracranial pressure,cerebral perfusion pressure levels and National Institute of Health stroke scale(NIHSS)score between two groups(P>0.05);after intervention,the average arterial pressure,intracranial pressure level and NIHSS score of two groups were lower than those before intervention,and those in the study group were lower than those in the control group,the cerebral perfusion pressure levels of two groups were higher than those before intervention,and that in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Diversified incentive intervention for patients with severe brain injury complicated with hypertension can significantly reduce the depressive symptoms,reduce the levels of average arterial pressure and intracranial pressure,avoid insufficient cerebral perfusion,thus promoting the recovery of neurological function and improving the prognosis.

Diversified incentive interventionSevere brain injuryHypertensionDepression symptomsNeurological function

邓华云

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福建医科大学附属第一医院 福建 福州 350005

多元化激励干预 重型脑外伤 高血压 抑郁症状 神经功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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