[1]冯月荣,万嘉欣.不同体位护理干预对慢性硬膜下血肿患者并发症及复发率的影响[J].医学信息官方网站,2022,35(15):183-185.[doi:10.3969/j.issn.1006-1959.2022.15.044]
 FENG Yue-rong,WAN Jia-xin.Effect of Different Posture Nursing Intervention on Complications and Recurrence Rate of Patients with Chronic Subdural Hematoma[J].Medical Information,2022,35(15):183-185.[doi:10.3969/j.issn.1006-1959.2022.15.044]
点击复制

不同体位护理干预对慢性硬膜下血肿患者并发症及复发率的影响()
分享到:

《医学信息》官方网站[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年15期
页码:
183-185
栏目:
护理研究
出版日期:
2022-08-01

文章信息/Info

Title:
Effect of Different Posture Nursing Intervention on Complications and Recurrence Rate of Patients with Chronic Subdural Hematoma
文章编号:
1006-1959(2022)15-0183-03
作者:
冯月荣万嘉欣
(上高县人民医院血透室,江西 上高 336400)
Author(s):
FENG Yue-rongWAN Jia-xin
(Hemodialysis Room,Shanggao County People’s Hospital,Shanggao 336400,Jiangxi,China)
关键词:
体位护理慢性硬膜下血肿Bender分级
Keywords:
Posture nursingChronic subdural hematomaBender classification
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.15.044
文献标志码:
A
摘要:
目的 研究不同体位护理干预对慢性硬膜下血肿患者并发症及复发率的影响。方法 选取2020年3月-2021年3月我院诊治的128例慢性硬膜下血肿患者为研究对象,采用随机数字表法分为对照组和观察组,各64例。对照组采用常规护理,观察组采用不同体位护理干预,比较两组并发症发生率、复发率、生存质量、Bender分级情况以及护理满意度。结果 观察组并发症发生率为4.69%,低于对照组的15.63%,差异有统计学意义(P<0.05);观察组随访4个月复发率为3.13%,低于对照组的20.31%,差异有统计学意义(P<0.05);观察组自觉生存质量自觉健康状况、生理维度、心理维度、社会维度、环境维度评分均高于对照组,差异有统计学意义(P<0.05);观察组Bender分级中0级、Ⅰ级占比高于对照组,Ⅱ级、Ⅲ级占比低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.88%,高于对照组的85.94%,差异有统计学意义(P<0.05)。结论 不同体位护理干预可降低慢性硬膜下血肿患者并发症发生率及复发率,提高患者生活质量,促进神经功能恢复,且患者护理满意度较高。
Abstract:
Objective To study the effect of different posture nursing intervention on complications and recurrence rate of patients with chronic subdural hematoma.Methods A total of 128 patients with chronic subdural hematoma treated in our hospital from March 2020 to March 2021 were selected as the research subjects. They were divided into control group and observation group by random number table method, with 64 cases in each group. The control group received routine nursing, and the observation group received different posture nursing. The incidence of complications, recurrence rate, quality of life, Bender classification and nursing satisfaction were compared between the two groups.Results The incidence of complications in the observation group was 4.69%, which was lower than 15.63% in the control group, and the difference was statistically significant (P<0.05). The recurrence rate of the observation group after 4 months of follow-up was 3.13%, which was lower than 20.31% of the control group, and the difference was statistically significant (P<0.05). The scores of self-conscious health status, physiological dimension, psychological dimension, social dimension and environmental dimension in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). The proportion of Bender grades 0 and Ⅰ in the observation group were higher than that in the control group, and the proportion of grades Ⅱ and Ⅲ were lower than that in the control group, the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group was 96.88%, which was higher than 85.94% of the control group, and the difference was statistically significant (P<0.05).Conclusion Different posture nursing can reduce the incidence of complications and recurrence rate of patients with chronic subdural hematoma, improve the quality of life, promote the recovery of neurological function, and patients have higher nursing satisfaction.

参考文献/References:

[1]李倩,姚菲,王磊,等.慢性硬膜下血肿患者术后体位护理对复发情况的影响[J].中华现代护理杂志,2017,23(3):400-403.[2]周娟,段晓春.老年慢性硬膜下血肿患者术后谵妄原因分析及护理对策[J].实用临床医药杂志,2017,21(20):127-129.[3]张超,张鹏,宋建荣,等.手术体位对慢性硬膜下血肿疗效的影响[J].中华神经外科疾病研究杂志,2017,16(3):259-260.[4]齐帅,张春阳,董艳芳.慢性硬膜下血肿钻孔引流术后复发的影响因素[J].临床神经外科杂志,2020,17(5):585-587.[5]万小菊,俞巧兰,赵鹏来,等.老年慢性硬膜下血肿病人钻孔引流术后的护理措施探讨[J].实用老年医学,2017,20(12):113-115.[6]蒙彩艳.临床护理路径在慢性硬膜下血肿钻孔引流术患者中的应用[J].护理实践与研究,2016,13(21):46-49.[7]孙动梅,闫红霞,伏莉.优质护理服务用于慢性硬膜下血肿患者的效果分析[J].中外医学研究,2017,15(34):102-104.[8]刘士宝,李鹏,安宏伟,等.创伤性后颅窝硬膜外血肿32例临床特点分析[J].人民军医,2020,63(5):494-496.[9]李知阳,柯于勇,郭桥,等.慢性硬膜下血肿神经内镜与钻孔引流疗效对比分析[J].中国微侵袭神经外科杂志,2021,26(3):101-104.[10]梁桂珍.微创穿刺引流治疗慢性硬膜下血肿的效果观察与护理[J].护理实践与研究,2017,14(1):66-67.[11]徐学友,杨振宇,宋佳泉,等.多学科诊疗模式下钻孔引流术治疗高龄慢性硬膜下血肿临床分析[J].中国现代神经疾病杂志,2019,19(9):666-672.[12]周娟,段晓春.老年慢性硬膜下血肿患者术后谵妄原因分析及护理对策[J].实用临床医药杂志,2017,21(20):127-129.[13]李静.慢性硬膜下血肿术后并发症的预见性护理体会[J].河南外科学杂志,2017,23(1):143-144.[14]张玉梅.快速康复外科在慢性硬膜下血肿患者中的应用[J]. 齐鲁护理杂志,2017,23(8):6-8. [15]钱兴龙,李新,陆黎春,等.慢性硬膜下血肿患者微创钻孔引流术后复发的原因分析[J].医学临床研究,2016,33(5):1013-1015.[16]刘海巍,陶胜忠,陈辉,等.慢性硬膜下血肿钻孔引流术术后复发的危险因素分析[J].重庆医学,2018,47(4):528-530.[17]张增辉,张行泉,邱华辉.慢性硬膜下血肿术后并发张力性气颅的预防[J].中国微侵袭神经外科杂志,2017,22(4):181-182.[18]赵秀霞.综合护理在急性硬膜下血肿并发脑水肿患者术后护理中的应用[J].河南医学研究,2018,27(13):2473-2474.[19]徐月英.优质护理在慢性硬膜下血肿患者快速康复中的应用[J].甘肃医药,2021,40(1):85-87.[20]魏秀玲,张培娟.慢性硬膜下血肿围手术期患者护理路径应用效果研究[J].青海医药杂志,2020,50(6):46-48.

相似文献/References:

[1]胡 琳,姚 源,谢明国,等.慢性硬膜下血肿影像学多形性表现及临床诊治[J].医学信息官方网站,2018,31(14):167.[doi:10.3969/j.issn.1006-1959.2018.14.052]
 HU Lin,YAO Yuan,XIE Ming-guo,et al.Imaging Features and Clinical Diagnosis and Treatment of Chronic Subdural Haematoma[J].Medical Information,2018,31(15):167.[doi:10.3969/j.issn.1006-1959.2018.14.052]
[2]尹 胜,汪 洋,董永飞,等.中青年患者轻度颅脑损伤后形成慢性硬膜下血肿的危险因素[J].医学信息官方网站,2020,33(09):62.[doi:10.3969/j.issn.1006-1959.2020.09.019]
 YIN Sheng,WANG Yang,DONG Yong-fei,et al.Risk Factors for the Formation of Chronic Subdural Hematoma in Young and Middle-aged Patients with Mild Head Injury[J].Medical Information,2020,33(15):62.[doi:10.3969/j.issn.1006-1959.2020.09.019]
[3]吴海英.分娩镇痛联合体位护理对产妇镇痛效果及产程的影响[J].医学信息官方网站,2022,35(03):181.[doi:10.3969/j.issn.1006-1959.2022.03.049]
 WU Hai-ying.Effect of Labor Analgesia Combined with Body Position Nursingon Maternal Analgesia and Labor Process[J].Medical Information,2022,35(15):181.[doi:10.3969/j.issn.1006-1959.2022.03.049]
[4]杨 莹.分娩镇痛联合体位护理对产妇产程及镇痛效果的影响[J].医学信息官方网站,2022,35(09):178.[doi:10.3969/j.issn.1006-1959.2022.09.046]
 YANG Ying.Effect of Combined Position Nursing for Labor Analgesia on Labor Process and Analgesic Effect of Puerpera[J].Medical Information,2022,35(15):178.[doi:10.3969/j.issn.1006-1959.2022.09.046]
[5]谢国平.单、双钻孔引流在慢性硬膜下血肿中的临床效果及对预后和复发的影响[J].医学信息官方网站,2023,36(20):145.[doi:10.3969/j.issn.1006-1959.2023.20.029]
 XIE Guo-ping.Clinical Effect of Single and Double Trepanation Drainage in Chronic Subdural Hematoma and its Effect on Prognosis and Recurrence[J].Medical Information,2023,36(15):145.[doi:10.3969/j.issn.1006-1959.2023.20.029]
[6]范东庭.阿托伐他汀钙改善慢性硬膜下血肿出血量及神经功能的价值[J].医学信息官方网站,2024,37(17):93.[doi:10.3969/j.issn.1006-1959.2024.17.018]
 FAN Dong-ting.Value of Atorvastatin Calcium in Improving the Amount of Bleedingand Neurological Function of Chronic Subdural Hematoma[J].Medical Information,2024,37(15):93.[doi:10.3969/j.issn.1006-1959.2024.17.018]

更新日期/Last Update: 1900-01-01