优质护理服务用于慢性硬膜下血肿患者效果分析.docVIP

优质护理服务用于慢性硬膜下血肿患者的效果分析 　　【摘要】 目的：分析优质护理服务用于慢性硬膜下血肿患者的效果。方法：选择2015年6月-2017年3月50例慢性硬膜下血肿患者，均在全身麻醉下行颅骨钻孔引流术，随机分为观察组和对照组，每组25例。对照组采用常规护理，观察组给予优质护理服务，比较两组日常生活能力（ADL）、住院时间和心理健康（焦虑自评量表-SAS、抑郁自评量表-SDS）。结果：观察组ADL评分高于对照组，住院时间少于对照组，差异均有统计学意义（P0.05）；护理后，观察组低于对照组，差异有统计学意义（P0.05）。结论：优质护理服务提高慢性硬膜下血肿患者的日常生活能力，缩短住院时间，改善心理健康。 　　【关键词】 慢性硬膜下血肿； 颅骨钻孔引流术； 优质护理服务； 效果 　　doi：10.14033/j.cnki.cfmr.2017.34.051 文献标识码 B 文章编号 1674-6805（2017）34-0102-03 　　Effect of High-quality Nursing Service on Patients with Chronic Subdural Hematoma/SUN Dongmei，YAN Hongxia，FU Li.//Chinese and Foreign Medical Research，2017，15（34）：102-104 　　【Abstract】 Objective：To analyze the effects of high-quality nursing service on patients with chronic subdural hematoma.Method：50 patients with chronic subdural hematoma operated wtith skull drilling drainage under general anesthesia were selected from June 2015 to March 2017，and were randomly divided into the observation group and the control group（n=25）.The control group received conventional nursing，the observation group was given high-quality nursing service.Ability of daily living （ADL），hospitalization time and mental health，self rating anxiety scale（SAS） and self rating depression scale（SDS） were compared in the two groups.Result：ADL scores in the observation group was higher than that in the control group（P0.05），after nursing，SAS scores and SDS scores in the observation group were lower than those in the control group（P0.05）.Conclusion：High-quality nursing service could improve the ability of daily living，shorten the hospitalization time and improve mental health in patients with chronic subdural hematoma. 　　【Key words】 Chronic subdural hematoma； Skull drilling drainage； High-quality nursing service； Effect 　　First-author’s address： Pizhou People’s Hospital， Pizhou 221300，China 　　慢性硬膜下血?[（chronic subdural hematoma，CSDH）是神经外科常见的颅脑外伤疾病，血肿发生在硬脑膜和蛛网膜之间，周围有包膜，缓慢增大，多于受伤2～3周出现恶心、呕吐、头痛、视力模糊、复视及肢体功能障碍等临床症状[1]，若出现颅内压增高及局部压迫症状，颅骨钻孔引流术是其主要治疗方法。CSDH患者多伴有日常生活能力下降，由于担心手术效果、预后等，