摘要
目的探讨延续性护理辅助药物治疗对脑出血患者神经功能及生活质量的影响。方法选择2012年6月至2014年6月在我院接受治疗的脑出血患者110例,根据随机数字表法分为观察组和对照组各55例。两组均常规给予脱水和控制血压、维持机体水电解质平衡及控制感染等药物治疗及常规护理措施,观察组在此基础上实施延续性护理,比较两组患者护理辅助治疗前后的神经功能缺损评分(NIHSS)和格拉斯哥预后评分(GOS)、护理后的生活质量、对护理工作的满意度以及两组护理预后情况。结果观察组NIHSS评分显著低于对照组,GOS评分显著高于对照组,生活质量相关指标得分均显著高于对照组,护理满意度96.36%(53/55)高于对照组的85.45%(47/55),电解质紊乱和肺部感染以及负氮平衡等情况的发生率低于对照组,差异均有统计学意义(均P<0.05)。结论延续性护理对于脑出血患者具有较为积极的影响,可有效改善患者的神经功能,提升其生活质量,效果较好,值得临床推荐。
Objective To investigate the effects of continuous nursing assistant drug therapy on nerve function and quality of life in patients with cerebral hemorrhage. Methods One hundred and ten patients with cerebral hemorrhage treated in our hospital from June 2012 to June 2014 were selected. They were randomly divided into the observation or control groups, 55 in each group. The two groups were all given conventional treatment such as dehydration, control of blood pressure, maintaining body＇s water electrolyte balance and control of infections. The observation group was further given with continuing nursing care. The neurologic impairment score （ NIHSS） and the Glasgow prognosis score （GOS） before and after treatment, the quality of life, the satisfaction for nursing work and the prognosis were compared between the two groups. Results The scores of NIHSS in the observation group were significantly lower than that in the control group while the scores of GOS were significantly higher than that in the control group. The care satisfaction was 93.36% （53/55） in the observation group that was significantly higher than that in the control group of 85.45% （47/55） （P 〈 0. 05 ）. Conclusion The continuity of care has a more positive effect on patients with cerebral hemorrhage. The care can effectively improve the neurological function and the quality of life. It is worthy of clinical recommendations.
出处
《实用医院临床杂志》
2016年第1期66-68,共3页
Practical Journal of Clinical Medicine
关键词
延续性护理
脑出血
神经功能
生活质量
Continuing nursing care
Cerebral hemorrhage
Nerve function
Quality of life
