系统化护理在改善蛛网膜下腔出血早期脑损伤患者生存状态与情绪状态中的临床效果.docVIP

系统化护理在改善蛛网膜下腔出血早期脑损伤患者生存状态与情绪状态中的临床效果 　　[摘要] 目的 观察及研究系统化护理在改善蛛网膜下腔出血早期脑损伤患者生存状态与情绪状态中的效果。 方法 选取2014年6月～2016年2月期间于中国医科大学附属盛京医院进行诊治的60例蛛网膜下腔出血早期脑损伤患者选为研究对象，将60例患者按照随机数字表法分为对照组30例和观察组30例，对照组进行常规的蛛网膜下腔出血早期脑损伤护理，观察组则以系统化护理进行干预，然后将两组患者护理前和护理后1、2、8周时的生存状态与情绪状态分别以世界卫生组织生存质量测定量表（WHOQOL-100量表）、心境状态量表（profile moodstates，POMS量表）及正性负性情绪量表（PANAS量表）进行评估。 结果 护理前两组患者的WHOQOL-100量表、POMS量表及PANAS量表评分比较，差异均无统计学意义（均P 0.05）；而护理后1、2、8周时观察组的WHOQOL-100量表、POMS量表及PANAS量表评分均明显好于对照组同时间的评分，差异均有统计学意义（均P 0.05）。 结论 系统化护理在改善蛛网膜下腔出血早期脑损伤患者生存状态与情绪状态中的效果较好，对于患者以较好的状态接受治疗奠定了基础。 　　[关键词] 系统化护理；蛛网膜下腔出血；早期脑损伤；生存状态；情绪状态 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2016）09（b）-0156-04 　　[Abstract] Objective To observe and study the effect of systematic nursing for the life state and emotional state of patients with early brain injury after subarachnoid hemorrhage. Methods 60 patients with early brain injury after subarachnoid hemorrhage in Shengjing Hospital Affiliated to China Medical university from June 2014 to February 2016 were selected as the research object， and 60 cases were taken a table method randomly divided into control group 30 cases and observation group 30 cases， the control group were taken care with conventional nursing of early brain injury after subarachnoid hemorrhage， the observation group were taken care with systematic nursing， then the life state and emotional state of two groups before the nursing and at first， second and eighth week after the nursing were respectively evaluated with WHOQOL-100 scale， POMS scale and PANAS scale. Results The two groups′scores of WHOQOL-100 scale， POMS scale and PANAS scale were compared （all P 0.05）， while the observation group′s scores of WHOQOL-100 scale， POMS scale and PANAS scale at first， second and eighth week after the nursing were all obviously better than control group′s scores at the same time， the differences were all significant （all P 0.05）. Conclusion The effect of systematic nursing for the life state and emotional state of pati