提高高血压脑出血患者促醒效果和生存质量的护理干预研究

目的 探讨提高高血压脑出血患者促醒效果和生存质量的护理干预研究.方法 70例高血压脑出血患者随机分为护理干预组（n=35例）和常规护理组（n=35例）,两组均予以常规内科治疗,如降低颅内压、控制血压血糖、药物止血、营养对症支持等.常规护理组和护理干预组分别予以常规护理与综合性护理,干预时间均为4周.观察两组患者治疗前后促醒效果、并发症和生存质量的变化.结果 干预4周后,两组患者的GCS评分均较干预前明显上升（P＜0.05或P＜0.01）,且护理干预组上升值明显大于常规护理组（P＜0.05）;护理干预组的并发症总发生率明显低于常规护理组（χ2=4.79,P＜0.05）;同时两组患者躯体功能、心理功能、社会功能和物质生活等四项评分均较干预前明显上升（P＜0.05或P＜0.01）,且护理干预组上升值明显大于常规护理组（P＜0.05）.结论 综合性护理能提高高血压脑出血患者GCS评分,促进患者的早期苏醒,避免或减少治疗期间并发症发生,提高患者的生存质量.

Nursing intervention study on the increase of wake promoting effect and life quality of patients with hypertensive cerebral hemorrhage

Objective To investigate the nursing intervention study on the increase of wake promoting effect and life quality of patients with hypertensive cerebral hemorrhage. Methods 70 cases of patients with hypertensive cerebral hemorrhage were selected and divided into nursing intervention group （n=35 cases） and routine nursing group （n=35 cases） at random. The patients in two groups were given routine medical treatment, such as controlling intracranial pressure, blood sugar and blood pressure, hemostasis, nutrition support treatment. The patients in routine nursing group and nursing intervention group were given routine nursing and comprehensive nursing for 4 weeks respectively. The changes of wake promoting effect, complication and life quality of patients in two groups before and after treatment were observed. Results After 4 weeks ＇intervention, GCS scores of patients in two groups obviously rose much more than before （P〈0.05 or P〈0.01）, and the rising rate of patients in nursing intervention group was much higher than that in routine nursing group （P〈0.05）. The total occurrence rates of complication of patients in nursing intervention group was much lower than that in routine nursing group （χ2=4.79, P〈0.05）. Meanwhile, the scores of body function, mental function, social function and material life of patients in two groups obviously rose much more than before （P〈0.05 or P〈0.01）, and the rising rate of patients in nursing intervention group was much higher than that in routine nursing group （P〈0.05）. Conclusion Comprehensive nursing can raise the GCS score of patients with hypertensive cerebral hemorrhage, promote the early wake of patients, avoid or lower the occurrence rate of complication during the medical treatment and enhance the life quality of patients.