優質護理干預對重癥腦出血患者神經功能監測與評估、并發癥及護理滿意度的影響

徐慧紅　俞洪波

【摘要】 目的：探討優質護理干預對于重癥腦出血患者神經功能監測與評估、并發癥以及護理滿意程度的影響。方法：選取2016年1-12月在本院進行診療的重癥腦出血患者100例，按照隨機抽查方法將其分為對照組和觀察組，各50例。對照組在診療之后仍然使用常規性的護理方法，觀察組則在此基礎之上施加針對性的優質護理干預。對比分析兩組神經功能監測與評估、并發癥以及護理滿意度。結果：護理前，兩組NIHSS評分比較，差異無統計學意義（P>0.05），護理后，兩組NIHSS評分均顯著低于護理前（P<0.05），且觀察組NIHSS評分顯著低于對照組（P<0.05）；觀察組的護理總有效率明顯優于對照組，差異有統計學意義（P<0.05）；觀察組的并發癥發生率明顯低于對照組，差異有統計學意義（P<0.05）；觀察組的護理滿意度明顯高于對照組，差異有統計學意義（P<0.05）。結論：給予重癥腦出血患者優質護理干預，能夠有效改善患者神經功能缺損程度，具有較為顯著的臨床護理效果，且能夠減少并發癥發生率，提升護理滿意程度，具有臨床推廣意義。

【關鍵詞】 神經功能監測與評估； 并發癥發生率； 護理滿意度

Effect of High Quality Nursing Intervention on Monitoring and Evaluation of Neurological Function，Complications and Nursing Satisfaction in Patients with Severe Intracerebral Hemorrhage/XU Hui-hong，YU Hong-bo.//Medical Innovation of China，2017，14（30）：072-075

【Abstract】 Objective：To investigate the effect of high quality nursing intervention on monitoring and evaluation of neurological function，complications and nursing satisfaction in patients with severe intracerebral hemorrhage.Method：100 patients with severe cerebral hemorrhage diagnosed and treated in our hospital from January 2016 to December 2016 were selected，according to the random sampling method，they were divided into control group and observation group，50 cases in each group.The control group still used routine nursing methods after diagnosis and treatment，and observation group was given targeted high quality nursing intervention on this basis.The monitoring and evaluation of neurological function，complications and nursing satisfaction of two groups were compared and analyzed.Result：The NIHSS scores of two groups before nursing was compared，the difference was not statistically significant（P>0.05），after nursing，the NIHSS scores of two groups were significantly lower than those of before nursing（P<0.05），and the NIHSS score of observation group was significantly lower than that of control group（P<0.05），the nursing efficiency in observation group was significantly better than that of control group，the difference was statistically significant（P<0.05），the incidence of complications in observation group was significantly lower than that of control group，the difference was statistically significant（P<0.05），the nursing satisfaction of observation group was higher than that of control group，the difference was statistically significant（P<0.05）.Conclusion：Given the high quality nursing intervention in patients with severe cerebral hemorrhage，can effectively improve the patients with neurological impairment，with clinical nursing effect is significant，and can reduce the incidence of complications， improve nursing satisfaction，has clinical significance.endprint

【Key words】 Monitoring and evaluation of neurological function； Complication rate； Nursing satisfaction

First-authors address：Shangrao Peoples Hospital，Shangrao 334000，China

doi：10.3969/j.issn.1674-4985.2017.30.021

近年來，隨著人們生活水平不斷提高，一方面高血壓的發病率在不斷上升，另一方面生活的快節奏也給人們帶來了具大生活壓力，致使越來越多的人患上了高血壓腦出血這種危險之癥[1]。腦出血病會對人體的各項身體機能造成一定程度的破壞，與此同時高血壓腦出血還會引發患者產生并發癥[2]，比如呼吸衰竭、心力衰竭等多種病況出現。高血壓成為當前我國臨床醫學中較為常見的心血管疾病，也是當前最為廣泛具有的心血管疾病[3]。研究表明，在眾多高血壓患者中，普遍存在著不規律服藥、不長期測量血壓、不注重非藥物的醫療問題[4]。相關研究表明，對腦出血患者施以優質護理能夠取得良好的治療成效[5-6]。本文選取2016年1-12月在本院進行診療的重癥腦出血患者100例為研究對象，探討優質護理干預對于重癥腦出血患者神經功能監測與評估、并發癥以及護理滿意程度的影響，現報道如下。