摘要
目的研究基于神经功能缺损评分(NIHSS)的针对性预见性护理对高血压脑出血(HICH)患者的影响。方法选取2017年2月至2019年3月本院收治的78例HICH患者,根据入院顺序分组,每组39例。对照组予以常规护理,观察组加用基于神经功能缺损评分的针对性预见性护理,比较两组术后并发症发生率、ICU停留时间、住院时间、术后1个月SF-36生活质量评分、NIHSS评分、患者满意度。结果观察组术后并发症发生率(5.13%)较对照组(23.08%)低(P<0.05);观察组ICU停留时间、住院时间较对照组短,术后1个月SF-36评分较对照组高,NIHSS评分较对照组低(P<0.05);观察组患者满意度(92.31%)较对照组(69.23%)高(P<0.05)。结论基于NIHSS评分的针对性预见性护理可减少HICH患者术后并发症的发生,改善患者神经功能,促进患者恢复,提高患者生活质量与满意度。
Objective To investigate the effect of targeted predictive nursing based on neurological deficit score(NIHSS)on patients with hypertensive intracerebral hemorrhage(HICH).Methods A total of 78 patients with HICH admitted to our hospital from February 2017 to March 2019 were enrolled in our hospital,and were divided into two groups,39 cases in each group.The control group received routine nursing care,and the observation group received targeted predictive nursing based on neurological deficit score.The postoperative complication rate,ICU stay time,hospital stay,SF-36 quality of life score,NIHSS score,and patient satisfaction were compared between the two groups.Results The incidence of postoperative complications in the observation group(5.13%)was lower than that in the control group(23.08%)(P<0.05).The ICU stay time and hospitalization time in the observation group were shorter than those in the control group,and the SF-36 score at 1 month after the operation was higher than that in the control group,and the NIHSS score was lower than that in the control group(P<0.05).The satisfaction of the observation group(92.31%)was higher than that of the control group(69.23%)(P<0.05).Conclusion Targeted predictive care based on NIHSS score can reduce the incidence of postoperative complications in HICH patients,improve neurological function,promote patients recovery,and improve patients'quality of life and satisfaction.
作者
朱兆仙
Zhu Zhaoxian(Department of Neurosurgery,First Affiliated Hospital of Nanyang Medical College,Nanyang 473058,China)
出处
《国际医药卫生导报》
2019年第24期3991-3993,共3页
International Medicine and Health Guidance News
基金
河南省科技厅科技攻关基金项目(152102310025)。
关键词
神经功能缺损评分
针对性预见性护理
高血压脑出血
术后生活质量
Neurological deficit score
Targeted predictive nursing
Hypertensive intracerebral hemorrhage
Postoperative quality of life
