摘要
目的探讨综合性心理护理干预对高血压脑出血患者治疗遵医行为、并发症、护理满意度和预后影响。方法 80例高血压脑出血患者随机分为心理护理组和常规护理组。两组均予以控制颅内压和血压、止血及对症常规治疗。常规护理组加用常规护理,心理护理组加用综合性心理护理,疗程均为4周。结果干预4周后,心理护理组治疗临床总遵医率明显高于对照组,并发症率明显低于常规护理组;心理护理组服务态度、技术水平、健康宣教、关爱患者、心理支持等分项护理满意度明显高于常规护理组;两组生活自理能力均明显升高,且心理护理组升高值均明显高于常规护理组。结论综合性心理护理可以提高高血压脑出血患者治疗遵医行为,避免或减少了并发症发生率,提高护理满意度和生活自理能力,改善其预后。
Objective To discuss influence of comprehensive psychological nursing intervention on treatment compliance, complication, nursing satisfaction of patients and prognosis with hypertensive cerebral hemorrhage. Methods Eighty cases of patients with hypertensive cerebral hemorrhage were divided into psychological nursing intervention group and routine nursing group at random. The patients in two groups were given the control of intracranial pressure and blood pressure, hemostasis, and routine and symptomatic treatment. The patients in routine nursing group were additionally given the routine nursing, while the patients in psychological group were additionally given the comprehensive psychological nursing for 4 weeks. Results After 4 weeks＇ intervention, the total clinical treatment compliance of patients in psychological group was much higher than that in control group, while the complication rate was much lower than that in routine nursing group. The nursing satisfaction of service attitude, technical level, health education, patients caring, psychological support and etc of patients in psychological group was much higher than that in routine nursing group. Self-care ability were approved signicantly the 2 groups, the rising rate in psychological nursing intervention was much higher than that in routine nursing group. Results The comprehensive psychological nursing can improve the treatment compliance of patients with hypertensive cerebral hemorrhage, avoid and reduce the occurrence rate of complication of patients during the medical treatment, enhance the nursing satisfaction of patients and self-care ability, and imporve prognosis as well.
出处
《中国现代医生》
2014年第6期108-110,共3页
China Modern Doctor
基金
浙江省医学会临床研究基金(2011ZYC-B9)
关键词
脑出血
综合性护理
负性情绪
遵医行为
并发症
Cerebral hemorrhage
Comprehensive nursing
Negative attitude
Treatment compliance
Complication
