|
|
Application effect of rapid rehabilitation surgical nursing in patients with hypertensive cerebral hemorrhage treated by minimally invasive intracranial hematoma puncture and drainage |
JIANG Xia ZHOU Lifeng DUAN Lina ZENG Xiaolu#br# |
Department of Critical Medicine, the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Hunan Province, Changsha 410000, China
|
|
|
Abstract Objective To explore the intervention effect of fast rehabilitation surgical nursing after minimally invasive surgery in patients with hypertensive cerebral hemorrhage. Methods A total of 110 patients with hypertensive cerebral hemorrhage treated by minimally invasive intracranial hematoma puncture and drainage who were admitted to the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine from January 2020 to June 2021 were divided into observation group (55 cases) and control group (55 cases) by random number table method. The control group received routine nursing, while the observation group received rapid rehabilitation surgical nursing. The self-care ability, clinical efficacy, nursing satisfaction rate, complication rate, daily activity ability, and disturbance of consciousness were compared between the two groups. Results After the intervention, the scores of self-concept, self-care responsibility, self-care function, and health knowledge in the two groups were higher than those before the intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). After intervention, the total efficacy rate of the nursing observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). The nursing satisfaction rate in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). The scores of the modified Barthel index and Glasgow coma scale in the two groups were higher than those before the intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Rapid rehabilitation surgical nursing is applied to patients with hypertensive cerebral hemorrhage treated by minimally invasive intracranial hematoma puncture and drainage, which is worthy of clinical promotion.
|
|
|
|
|
[1] 闫紫,李常红,唐晓梅,于逢春.脑出血血肿扩大的预测因素及预测评分系统[J].中国脑血管病杂志,2019,16(7):387-392.
[2] 蒋书平,刘明月,孙丹丹.高血压脑出血术后患者家庭亲密度和适应性与自我感受负担的相关性[J].护理学杂志,2019,34(2):59-62.
[3] 郭春华,闻峰.微创血肿清除术结合自拟活血化瘀醒脑汤治疗高血压脑出血临床研究[J].现代中西医结合杂志,2019,28(25):2813-2816.
[4] 胡荣,冯华.脑出血手术治疗时机[J].中国现代神经疾病杂志,2018,18(11):766-769.
[5] 崔冬强,冯铭,束旭俊,等.增强现实技术辅助神经内镜与小骨窗开颅血肿清除术治疗高血压脑出血疗效分析[J].中国现代神经疾病杂志,2019,19(9):654-660.
[6] 王颜佶,张玲霞.生活方式护理管理在糖尿病合并高血压脑出血病人护理中的应用[J].护理研究,2018,32(3):473-475.
[7] 李孝荣.细节化护理在高血压脑出血患者术后护理中的实施效果[J].中国老年学杂志,2019,39(2):277-279.
[8] 张金利,路楷.多感官促醒护理模式应用于高血压性脑出血术后昏迷病人的临床实践[J].护理研究,2018,32(3):430-432.
[9] Rivera-Lara L,Murthy SB,Nekoovaght-Tak S,et al. Influence of bleeding pattern on ischemic lesions after spontaneous hypertensive intracerebral hemorrhage with intraventricular hemorrhage [J]. Neurocrit Care,2018,29(2):180-188.
[10] Ljungqvist O,Scott M,Fearon KC. Enhanced recoveryafter surgery:a review [J]. JAMA Surg,2017,152(3):292.
[11] 刘成媛,乔琼,罗梦丹,等.加速康复外科的应用研究进展[J].护理研究,2019,33(2):261-264.
[12] 张茜,仵晓荣.加速康复外科在临床中的应用进展[J].护理研究,2018,32(2):191-195.
[13] 高利.高血压性脑出血急性期中西医结合诊疗专家共识[J].中国全科医学,2016,19(30):3641-3648.
[14] 王俊香,陈宝军,王峰.社区-自我管理模式对原发性高血压合并糖尿病患者治疗依从性及自我效能感的影响[J].中国慢性病预防与控制,2018,26(11):874-877.
[15] 孙永全,解战兵,孔传祥,等.老年脑外伤患者延迟行钻孔外引流术治疗的效果及对认知功能的影响[J].中国老年学杂志,2019,39(2):316-319.
[16] 张磊,刘建民.美国国立卫生研究院卒中量表[J].中华神经外科杂志,2014,30(1):79.
[17] 郭蕴萍,石学敏.“活血散风针刺法”辅助治疗对老年卒中伴高血压患者清晨血压及血压负荷的影响[J].中国针灸,2019,39(4):349-354.
[18] 燕晓翔,徐梅,王古月,等.跨学科多量表评定神经重症患者意识的信度研究[J].中国康复医学杂志,2018,33(2):137-140.
[19] 田慧子,王会英,李静燃.快速康复护理对中青年胃癌术后病人康复和心理复原力的影响[J].护理研究,2019, 33(5):859-862.
[20] 金佳,徐炜,艾红珍.全膝关节置换围术期快速康复外科管理模式的实施[J].中国组织工程研究,2019,23(16):2467-2472.
[21] 杨卫富,印山河,王黎.快速康复外科对腹腔镜结直肠癌手术患者胰岛素抵抗和炎性反应的影响[J].中国微创外科杂志,2017,17(5):450-454.
[22] 宋雅婷,罗秀萍,王燕.微创血肿清除术治疗高血压性脑出血的术后康复护理效果.实用临床医药杂志,2017, 21(4):1.
[23] 汪洋,王平,彭浩,等.快速康复外科理念在胸腔镜肺癌手术患者中的应用价值分析[J].中外医学研究,2021, 19(1):117-118.
[24] 陈静.快速康复治疗在中老年胃肠道肿瘤患者手术中的应用[J].现代医院,2020,20(1):128-129.
[25] 林萍,叶春慧.快速康复护理在全膝关节置换术中的应用效果系统评价[J].中国医学创新,2021,18(5):98-102.
[26] 张屏,王鹿婷,符秋蓉,等.高血压脑出血术后快速康复护理对神经康复的优化效果研究[J].中国全科医学,2020(S1):262-264.
[27] 赵权萍,郑孝词,曹彬,等.快速康复外科综合护理方案在乳腺癌择期手术病人护理中的应用[J].护理研究,2021,35(4):695-699.
[28] 张瑶,郭闯.快速康复护理在腰椎间盘突出症患者围术期的应用[J].中国医药导报,2021,18(7):173-175,184.
[29] 饶渭霞,潘海芳,陈敏.快速康复联合延续护理在微创膝关节置换术患者中的应用研究[J].中国当代医药,2022,29(2):164-167.
[30] 张馨予,宁宁,李佩芳,等.外科医护人员加速康复外科理念知信行现状及影响因素分析[J].中华现代护理杂志,2016,22(33):4790-4795. |
|
|
|