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目的:探讨集束化护理干预对脑出血微创锥颅血肿清除术患者康复效果的影响。方法:选取2013年3月~2015年12月就诊于我院行微创锥颅血肿清除术的脑出血患者60例并随机等分为对照组和研究组,对照组给予常规护理干预;研究组在常规护理的基础上采用集束化护理干预。比较两组患者术后格拉斯哥昏迷评分法(GCS)和巴氏日常生活量表(Barthel)的评分、并发症发生情况及护理满意度。结果:研究组患者的GCS评分、手术后Barthel评分均高于对照组(P<0.05);研究组患者的肺部感染、中枢性高热、肾功能不全、电解质紊乱的并发症发生均低于对照组(P<0.05);患者的满意度高于对照组(P<0.05)。结论:集束化护理干预能够明显改善脑出血微创锥颅血肿清除术患者的生活质量,降低并发症发生,促进患者康复,提高护理满意度。
Objective: To investigate the effect of intensive nursing intervention on the rehabilitation of patients with intracerebral hemorrhage minimally invasive cone cranial hematoma. Methods: Sixty patients with intracerebral hemorrhage who underwent minimally invasive convalescent cranial hematoma in our hospital from March 2013 to December 2015 were randomly divided into control group and study group. The control group received routine nursing intervention. The study group Based on routine care using cluster nursing intervention. The postoperative Glasgow Coma Scale (GCS) and Barthel scores, complications and nursing satisfaction were compared between the two groups. Results: The GCS score and Barthel score after operation in study group were significantly higher than those in control group (P <0.05). The incidence of pulmonary infection, central hyperthermia, renal insufficiency and electrolyte disturbance in study group were lower than those in control group (P <0.05). The patients’ satisfaction was higher than that of the control group (P <0.05). Conclusion: The intensive nursing intervention can significantly improve the quality of life of patients with cerebral hemorrhage minimally invasive cone skull hematoma, reduce the incidence of complications, promote patient rehabilitation and improve nursing satisfaction.