[1]丁海蛟,刘梦焦.预见性护理干预对脑出血重症监护患者相关护理结局的影响[J].医学信息,2021,34(08):183-185.[doi:10.3969/j.issn.1006-1959.2021.08.051]
　DING Hai-jiao,LIU Meng-jiao.The Influence of Predictive Nursing Intervention on Related Nursing Outcomes of Patients with Cerebral Hemorrhage in Intensive Care[J].Medical Information,2021,34(08):183-185.[doi:10.3969/j.issn.1006-1959.2021.08.051]
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预见性护理干预对脑出血重症监护患者相关护理结局的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年08期
页码:
183-185
栏目:
护理研究
出版日期:
2021-04-15

文章信息/Info

Title:
The Influence of Predictive Nursing Intervention on Related Nursing Outcomes of Patients with Cerebral Hemorrhage in Intensive Care
文章编号:
1006-1959（2021）08-0183-03
作者:
丁海蛟; 刘梦焦
（天津市泰达医院神经科，天津 300457）
Author(s):
DING Hai-jiao; LIU Meng-jiao
(Department of Neurology,TEDA Hospital,Tianjin 300457,China)
关键词:
预见性护理; 脑出血; 重症监护
Keywords:
Predictive nursing; Cerebral hemorrhage; Intensive care
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.08.051
文献标志码:
A
摘要:
目的 研究预见性护理干预对脑出血重症监护患者相关护理结局的影响。方法 选取2018年7月~2019年7月我院接诊的118例脑出血重症监护患者为研究对象，采用随机数字表法分为对照组和观察组，各59例。对照组采用常规护理，观察组在对照组基础上应用预见性护理干预，比较两组并发症发生情况、生活质量SF-36量表评分、护理不良事件发生率、平均住院时间以及病死率。结果 观察组并发症发生率低于对照组（6.78% vs 18.64%），差异有统计学意义（P＜0.05）；观察组心理健康、社会功能、物质生活、活力、情感职能、生理功能评分高于对照组，差异有统计学意义（P＜0.05）；观察组护理不良事件发生率低于对照组（3.38% vs 10.16%），差异有统计学意义（P＜0.05）；观察组住院时间短于对照组、病死率低于对照组[（11.22±0.26）d vs（19.13±1.23）d]、（1.69% vs 11.86%），差异有统计学意义（P＜0.05）。结论 预见性护理干预可降低脑出血重症监护患者并发症和护理不良事件发生，提高患者生活质量，缩短住院时间，降低病死率，整体护理结局理想。
Abstract:
Objective To study the impact of predictive nursing intervention on related nursing outcomes of patients with cerebral hemorrhage in intensive care.Methods A total of 118 intensive care patients with cerebral hemorrhage admitted to our hospital from July 2018 to July 2019 were selected as the research objects. They were divided into control group and observation group by random number table method, with 59 cases in each group.The control group used routine nursing care, and the observation group used predictive nursing intervention on the basis of the control group to compare the occurrence of complications, the quality of life SF-36 scale score, the incidence of nursing adverse events, the average length of stay and the mortality rate of the two groups.Results The incidence of complications in the observation group was lower than that in the control group (6.78% vs 18.64%),the difference was statistically significant (P＜0.05);The mental health, social function, material life, vitality, emotional function, and physiological function scores of the observation group were higher than those of the control group,the difference was statistically significant (P<0.05);The incidence of adverse nursing events in the observation group was lower than that in the control group (3.38% vs 10.16%),the difference was statistically significant (P＜0.05);The length of stay in the observation group was shorter than that of the control group, and the mortality rate was lower than that of the control group [(11.22±0.26) dvs(19.13±1.23)d], (1.69% vs 11.86%), the difference was statistically significant (P<0.05).Conclusion Predictive nursing intervention can reduce the occurrence of complications and adverse nursing events in intensive care patients with cerebral hemorrhage, improve the quality of life of patients, shorten the length of hospitalization, reduce the mortality rate, and the overall nursing outcome is ideal.

参考文献/References:

[1]陈海燕,姜丽萍.院前-院内一体化急救护理程序在急性脑出血患者中的应用效果[J].中华现代护理杂志,2018,24(14):1696-1698. [2]周婷.预见性护理对急性脑出血患者并发症的作用[J].吉林医学,2014,35(22):5028-5029. [3]汤丽丽,杨文梓,孙亮.预见性护理干预对脑出血重症监护患者相关护理结局的影响研究[J].现代中西医结合杂志,2018,27(4):445-447. [4]欧阳惠芳,陈刘珍,梁锦笑.预见性护理干预对脑出血急性期患者便秘的影响[J].护理实践与研究,2014,11(2):28-29. [5]高莉萍,李敏,刘虎军.综合护理干预对微创术治疗高血压性脑出血患者的影响[J].北京医学,2018,40(7):713-714. [6]王建玲,陶胜波,贾爱兰,等.脑出血患者并发肺部感染的相关危险因素及预防对策[J].中华医院感染学杂志,2017,27(3):566-568. [7]郑红,姚建珍,戴夏慧,等.神经外科重症监护病房医院感染的高危因素分析及控制措施[J].中国乡村医药杂志,2015,21(4):37-40. [8]林萍萍,蒋云琴,卢小清,等.优质护理服务在神经外科护理中的实施效果分析[J].中外医学研究,2014,12(24):65-66. [9]耿希华.护理干预对ICU脑出血患者预防肺部感染的有效性[J].实用临床医药杂志,2016(18):11-13. [10]贾洁,刘萍.高血压脑出血患者发生肺部感染的危险因素及护理措施分析[J].山西医药杂志,2019,48(10):119-121. [11]苏丹,胡秀兰.预见性护理干预对脑出血患者术后神经康复、生活质量的影响[J].中国医药导报,2017,14(31):177-180. [12]马江帆,赵明利,陈瑛,等.PCT与CRP变化对高血压脑出血合并老年肺部感染患者的预后影响[J].中华医院感染学杂志,2016,26(17):3918-3920. [13]袁晓艳,万新.改良询证护理联合预见性护理在高血压性脑出血患者中的应用[J].医学临床研究,2017,34(4):832. [14]孙翠,王栋梅,马吉芬,等.系统护理模式对改善微创手术脑出血患者神经功能及减少并发症的意义[J].现代中西医结合杂志,2017,26(34):3872-3874. [15]陈霞,周俊.脑出血术后院内肺部感染危险因素分析及预防干预措施[J].护理实践与研究,2020,17(1):98-100.

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更新日期/Last Update: 1900-01-01