预见性护理干预对脑出血患者术后神经康复、生活质量的影响.docVIP

预见性护理干预对脑出血患者术后神经康复、生活质量的影响 　　[摘要] 目的 探讨预见性护理干预对脑出血患者术后神经康复、生活质量的影响。 方法 选取2016年3月～2017年1月首都医科大学附属北京天坛医院接受治疗的110例脑出血患者为研究对象。按照随机数字表法分为对照组和观察组，每组各55例，对照组采用常规护理措施，观察组采用预见性护理干预措施。比较两组患者生活质量、神经康复、满意度及并发症发生率。 结果 护理前两组患者生活质量各项指标（包括肢体功能、社会角色、家庭角色、情绪状况、思维状况、活动能力）评分比较，差异无统计学意义（P 0.05）；护理后两组患者上述指标评分均高于护理前，观察组评分明显高于对照组，差异均有统计学意义（P 0.05）。 结论 预见性护理干预可促进脑出血患者神经功能快速康复，改善生活质量及预后，提高护理满意度，值得临床推广应用。 　　[关键词] 护理干预；?X出血；神经恢复；生活质量 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2017）11（a）-0177-05 　　Effects of predictive nursing intervention on neurological rehabilitation and quality of life in patients with intracerebral hemorrhage 　　SU Dan HU Xiulan 　　Department of Neurological Medicine， Beijing Tian Tan Hospital， Capital Medical University， Beijing 100050， China 　　[Abstract] Objective To explore the effect of predictive nursing intervention on neurological rehabilitation and quality of life in patients with cerebral hemorrhage. Methods A total of 110 patients with cerebral hemorrhage treated in Beijing Tian Tan Hospital from March 2016 to January 2017 were selected as research objects and divided into the control group and the observation group by random number table， with 55 cases in each group. The control group was given routine nursing care and the observation group was given predictive nursing intervention. Quality of life， neurological rehabilitation， nursing satisfaction and incidence of complications were compared between two groups. Results Before nursing， there were no significant differences in the scores of indicators on quality of life between the two groups （includes physical function， social role， family role， emotional status， mental status and activity ability） （P 0.05）. After nursing， the scores of indicators above in the two groups were all increased and those in the observation group increased more remarkably （P 0.05）. Conclusion Predictive nursing intervention can significantly improve the neurological rehabilitation in patients with cerebral hemorrhage， promot