摘要
目的:探讨延续护理对高血压脑出血(HICH)手术后康复期患者的康复效果。方法:选择2015年1月~2016年3月我院收治的HICH术后康复期患者96例,按随机数字表随机均分为常规护理组和延续护理组。收集比较两组Fugl-Meyer运动功能评价量表(FMA)、Barthel指数(BI)、简单应对方式问卷(SCSQ)、护理满意度调查表评分,以及康复效果。结果:与干预前比较,干预后延续护理组FMA评分、BI指数、积极应对评分显著增加,消极应对评分显著降低;常规护理组仅FMA评分、BI指数显著增加(P均=0.001)。与常规护理组比较,延续护理组干预后FMA评分[(41.38±5.03)分比(49.35±4.14)分]、BI指数[(49.05±5.25)分比(54.92±3.17)分]、积极应对评分[(25.26±5.16)分比(40.23±4.75)分]、护理质量[(14.23±3.74)分比(18.46±2.54)分]、陪伴护理人员护理技能[(13.16±3.04)分比(19.18±2.04)分]显著增加,消极应对评分[(29.35±4.32)分比(20.34±4.02)分]显著降低(P均=0.001)。结论:对HICH术后康复期患者实施延续护理,可改善患者心理状态,促进运动功能、日常生活能力恢复,提高护理满意度。
Objective：To explore influence of continuous nursing on rehabilitative effect in patients with hypertensive in-tracerebral hemorrhage （HICH）during recovery period after operative treatment.Methods：A total of 96 postoperative pa-tients with HICH during recovery period,who were treated in our hospital from Jan 2015 to Mar 2016,were selected.Ac-cording to random number table,they were randomly and equally divided into routine nursing group and continuous nursing group.Scores of Fugal-Meyer motor assessment （FMA）,Barthel index （BI）,simplified coping style questionnaire （SCSQ）, nursing satisfaction questionnaire and rehabilitative effect were collected and compared between two groups.Results：Com-pared with before intervention,after intervention,there were significant rise in scores of FMA,BI and positive coping, and significant reduction in negative coping score in continuous nursing group;while only FMA score and BI significantly increased in routine nursing group,P =0.001 all.Compared with routine nursing group after intervention,there were sig-nificant rise in scores of FMA [（41.38±5.03）scores vs.（49.35±4.14）scores],BI [（49.05±5.25）scores vs.（54.92±3.17）scores],positive coping [（25.26±5.16）scores vs.（40.23±4.75）scores],quality of nursing [（14.23±3.74） scores vs.（18.46 ±2.54）scores]and nursing techniques of accompanied nurse personnel [（13.16 ±3.04）scores vs. （19.18±2.04）scores],and significant reduction in negative coping score [（29.35 ±4.32）scores vs.（20.34 ±4.02） scores]in continuous nursing group,P =0.001 all.Conclusion：Continuous nursing can improve psychological state,pro-mote recovery of exercise function and activity of daily living,and improve nursing satisfaction in HICH patients during re-covery period after operative treatment.
出处
《心血管康复医学杂志》
CAS
2017年第5期554-557,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
国家自然科学基金项目(81301010)~~
关键词
高血压
颅内出血
高血压性
护理
Hypertension
Intracranial hemorrhage, hypertensive
Nursing care
