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延续性护理辅助药物治疗对脑出血患者神经功能及生活质量的影响分析(1)
http://www.100md.com 2017年11月15日 中国实用医药 2017年第32期
     【摘要】 目的 探究延续性护理辅助药物治疗对脑出血患者神经功能及生活质量的影响。方法 50例脑出血患者, 随机分为对照组和干预组, 每组25例。两组患者均给予脱水、控制血压、维持机体水电解质平衡等药物治疗。对照组患者给予常规护理干预, 干预组患者给予延续性护理。比较两组患者神经功能情况、生活质量评分以及患者对护理的满意度。结果 护理后, 干预组患者美国国立卫生研究院卒中量表(NIHSS)评分低于对照组患者, 格拉斯哥预后评分(GOS)高于对照组患者, 差异具有统计学意义(P<0.05)。护理后, 干预组患者生理功能、躯体疼痛、社会功能、情感职能以及精神健康评分均优于对照组, 差异具有统计学意义(P<0.05)。护理后, 干预组患者对护理的满意度为92%, 高于对照组患者的68%, 差异具有统计学意义(P<0.05)。结论 延续性护理辅助药物治疗对脑出血患者有更好的护理作用, 不仅能有效提高患者的生活质量, 而且有利于患者康复。

    【关键词】 延续性护理;药物治疗;脑出血;神经功能;生活质量

    DOI:10.14163/j.cnki.11-5547/r.2017.32.080

    Effect analysis of continuous nursing and drug therapy on neurological function and quality of life in patients with cerebral hemorrhage JIAO Jian. Benxi City Central Hospital, Benxi 117000, China

    【Abstract】 Objective To investigate the effect of continuous nursing and drug therapy on neurological function and quality of life in patients with cerebral hemorrhage. Methods A total of 50 patients with cerebral hemorrhage were randomly divided into control group and intervention group, with 25 cases in each group. Both groups received drug therapy of dehydration, control of blood pressure, maintenance of water and electrolyte balance, and the control group also received conventional nursing intervention. The intervention group also received continuous nursing. Comparison were made on neurological function, quality of life score, and patient satisfaction with nursing in two groups. Results After nursing, the intervention group had lower National Institutes of Health Stroke scale (NIHSS) score than the control group, and higher Glasgow outcome score (GOS) than the control group. Their difference was statistically significant (P<0.05). After nursing, the intervention group ha better physiological function, physical pain, social function, emotional function and mental health score than the control group, and their difference was statistically significant (P<0.05). After nursing, the intervention group had higher satisfaction on nursing as 92% than 68% in the control group, and their difference was statistically significant (P<0.05). Conclusion Continuous nursing and drug therapy shows better nursing effect on patients with cerebral hemorrhage. It not only can effectively improve the quality of life of patients, but also conducive to rehabilitation of patients.

    【Key words】 Continuous nursing; Drug therapy; Cerebral hemorrhage; Neurological function; Quality of life

    隨着生活节奏的加快, 人们生活工作压力的加大, 日常饮食习惯的改变, 导致急性脑出血的发病率逐渐上升, 以中年人为主要发病人群。脑出血是指非外伤所致的脑实质血管破裂出血, 是神经系统的常见病和多发病, 其发病较快, 病情发展迅速, 能在短时间内对患者的生命安全造成严重威胁, 致死率和致残率极高[1]。通过大量临床研究表明, 对脑出血患者应用延续性护理辅助药物治疗能有效控制患者的病情, 改善患者的神经功能, 提高患者的生存质量。因此, 本文选取50例脑出血患者作为研究对象, 其中干预组进行了延续性护理辅助药物治疗, 取得非常好的疗效, 具体报告如下。, http://www.100md.com(矫健)
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