便秘多元素防护护理在高血压性脑出血微创术后患者中的应用效果

目的探究便秘多元素防护护理在高血压性脑出血微创血肿清除术后患者中的应用效果。方法选取行微创血肿清除术的150例高血压性脑出血患者为研究对象,采用随机数字表法将其分为对照组和观察组,各75例。两组患者在微创血肿清除术后均行常规护理,在此基础上,对照组实施常规便秘护理干预,观察组实施便秘多元素防护护理干预。比较两组患者排便积分、Bristol大便性状分型、便秘发生情况以及便秘相关不良事件发生情况。结果干预前,两组患者排便积分无显著差异(P>0.05);干预后,两组患者排便积分均低于干预前,且观察组显著低于对照组(P<0.05)。干预后,观察组患者Bristol大便性状分型优于对照组,差异有统计学意义(P<0.05);观察组便秘发生率显著低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者便秘相关不良事件总发生率低于对照组(P<0.05)。结论高血压性脑出血患者微创血肿清除术后采用便秘多元素防护护理,能改善患者便秘情况,降低便秘发生率和便秘相关不良事件总发生率。

Application effect of multi-element constipation protective nursing in patients with hypertensive cerebral hemorrhage after minimally invasive operation

Objective To explore the application effect of multi-element constipation protection nursing in patients with hypertensive cerebral hemorrhage after minimally invasive hematoma removal. Methods A total of 150 patients with hypertensive cerebral hemorrhage who underwent minimally invasive hematoma removal were selected as the research objects. The patients were divided into control group and observation group by random number table method, with 75 cases in each group. Both groups received routine nursing after minimally invasive hematoma removal. On this basis, the control group received routine constipation nursing intervention, while the observation group received multi-element constipation protection nursing intervention. The defecation score, Bristol stool type, the occurrences of constipation and constipation-related adverse events were compared between the two groups. Results Before intervention, there was no significant difference in defecation score between the two groups (P>0.05);after intervention, defecation scores of the two groups were lower than those before intervention, and that in the observation group was significantly lower than the control group (P<0.05). After intervention, the Bristol stool type in observation group was better than that in the control group (P<0.05);the incidence of constipation in the observation group was significantly lower than that in the control group, the difference was statistically significant (P<0.05). After intervention, the total incidence of constipation-related adverse events in the observation group was lower than that in the control group (P<0.05). Conclusion Multi-element constipation protective nursing after minimally invasive hematoma removal for hypertensive cerebral hemorrhage patients can improve their constipation and reduce the incidences of constipation and constipation-related adverse events.