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). After operation of 1, 5, 10 d and at discharge time, there were statistically significant differences in the scores of national institute of health stroke scale (NIHSS) within- groups and the scores in the observation group were all lower than those of control group at different time points, with statistically significant difference (P ＜ 0.05). The nursing satisfaction in the observation group (98.18%) were higher than that of control group (88.00%), with statistically significant difference(P ＜ 0.05). The incidence of complications in the observation group (5.45%) was lower than that of control group (14.54%), but with no statistically significant difference (P ＞ 0.05). Conclusion Predictive nursing intervention can significantly improve the neurological rehabilitation in patients with cerebral hemorrhage, promote quality of life and prognosis, improve the nursing satisfaction. It is worthy of clinical promotion and application.
苏丹 胡秀兰. 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[J]. 中国医药导报, 2017, 14(31): 177-181.
SU Dan HU Xiulan. Effects of predictive nursing intervention on neurological rehabilitation and quality of life in patients with intracerebral hemorrhage. 中国医药导报, 2017, 14(31): 177-181.
[1] 孙红军.高血压脑出血引发缺血-再灌注损伤机制的再认识[J].国际神经病学神经外科学杂志，2015，42（1）：55-59.
[2] Li W，Gao J，Wei S，et al. Application values of clinical nursing pathway in patients with acute cerebral hemorrhage [J]. Exp Ther Med，2016，11（2）：490-494.
[3] Bar-Sela G，Danos S，Visel B，et al. The effect of complementary and alternative medicine on quality of life，depression，anxiety，and fatigue levels among cancer patients during active oncology treatment：phase II study [J]. Support Care Cancer，2015，23（7）：1979-1985.
[4] 欧艳.NIHSS评分与SSS评分对脑梗死急诊溶栓后出血转化的预测价值[J].实用医学杂志，2014，30（19）：3124-3126.
[5] 中华医学会神经外科学分会.自发性脑出血诊断治疗中国多学科专家共识[J].中华急诊医学杂志，2015，24（12）：114-117.
[6] 郭强，张爱莲，宋志斌，等.基底核区高血压脑出血术后患者生命质量及影响因素分析[J].中华物理医学与康复杂志，2016，38（7）：514-523.
[7] Xiong XY，Chen J，Zhu WY，et al. Serum hepcidin concentrations correlate with serum iron level and outcome in patients with intracerebral hemorrhage [J]. Neurol Sci，2015， 36（10）：1843-1849.
[8] Mchorney CA，Jr WJ，Raczek AE. The MOS 36-Item Short-Form Health Survey（SF-36）：II Psychometric and clinical tests of validity in measuring physical and mental health constructs [J]. Med Care，1993，31（3）：247-263.
[9] 王新，王拥军，颜振瀛.脑卒中患者临床神经功能缺损评分标准的信度和效度研究[J].卒中与神经疾病，1999，6（3）：148-150.
[10] Aoki J，Shibazaki K，Saji N，et al. Risk of intracerebral hemorrhage after thrombolysis in patients with asymptomatic hemorrhage on T2*[J]. Cerebrovasc Dis，2014，38（2）：107-116.
[11] 亓剑凤.循证护理在老年高血压脑出血患者微创规范化治疗中应用的效果评价[J].中国实用护理杂志，2014， 30（18）：35-37.
[12] 童艳飞，张佩兰.NIHSS评分≥15分且发病时间≤4.5 h的重型脑梗死患者静脉溶栓的疗效观察[J].实用医学杂志，2016，32（5）：812-815.
[13] 赵红，胡代英，邹明菊，等.延续护理对空巢脑出血康复期病人治疗依从性及生存质量的影响[J].护理研究，2015， 29（13）：1568-1570.
[14] Noori S，McCoy M，Anderson MP. et al. Changes in cardiac function and cerebral blood flow in relation to peri/intraventricular hemorrhage in extremely preterm infants [J]. J Pediatr，2014，164（2）：264-270.
[15] 杨坚娥，黄菊.颅脑手术围术期实施预见性护理对肺部感染的预防作用研究[J].中国当代医药，2017，24（12）：167-169.
[16] Tsivgoulis G，Zand R，Katsanos AH，et al. Risk of Symptomatic Intracerebral Hemorrhage After Intravenous Thrombolysis in Patients With Acute Ischemic Stroke and High Cerebral Microbleed Burden：A Meta-analysis [J]. Jama Neurology，2016，73（6）：675-683.
[17] 袁爱枝，郑光明，钟洁，等.心理护理干预模式对脑出血围术期患者神经功能及家属心理状态的影响[J].中国实用神经疾病杂志，2017，20（12）：128-130.
[18] Ohtani S，Shimizu K，Asari M，et al. Brain stem hemorrhage due to cerebral amyloid angiopathy：The autopsy of a patient with Alzheimer's disease at a young age [J]. Leg Med，2014，16（2）：98-101.
[19] 皮英，唐丽君，周素珍，等.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[J].实用医院临床杂志，2016，13（1）：66-68.
[20] 林少云，毛淑云，李惠仪，等.延续护理对高血压脑出血患者出院后生活能力和心理、社会适应状况的影响[J].中国当代医药，2017，24（5）：188-190.
[21] 赖品英，谷岩，李燕群，等.延续性护理在高血压脑出血术后患者中的应用[J].中国当代医药，2017，24（14）：182-184.
[22] Alexander KP，Weisz G，Prather K，et al. Effects of Ranolazine on Angina and Quality of Life After Percutaneous Coronary Intervention With Incomplete Revascularization：Results From the Ranolazine for Incomplete Vessel Revascularization（RIVER-PCI）Trial [J]. Circ，2016，133（1）：39-47.
[23] 杨瑛，赵李克，曹英华，等.早期个性化心理护理在脑卒中患者治疗中的应用[J].中国临床医学，2016，23（3）：405-407.
[24] 李慧萍，秦泽红，赵晖，等.脑出血患者早期康复治疗对神经功能、肢体活动程度、自理能力的影响[J].国际护理学杂志，2016，35（7）：937-939.
[25] 王冠，郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究，2017，31（2）：223-225.
[26] 万永红，陈秀琍，汪君，等.综合护理在老年高血压脑出血患者中的应用效果[J].中国当代医药，2017，24（17）：188-190.
[27] 邹依然，杨佳.预见性护理联合精细化护理管理模式在重型颅脑损伤中的应用效果[J].中国当代医药，2016， 23（6）：192-194.
2017, Vol. 14 
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