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目的:探讨基于美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分的分组护理对脑出血患者术后神经康复和生活质量的影响。方法:选取延安大学附属医院于2014年2月至2015年2月收治的120例脑出血患者为研究对象,根据NIHSS评分将患者分为≥10分组(60例)和<10分组(60例)。两组根据NIHSS评分分别给予针对性的预见性护理措施,比较两组患者术后神经康复和生活质量的情况。结果:≥10分组的总有效率显著高于<10分组,差异具有统计学意义(χ2=11.582,P=0.001)。≥10分组的神经功能康复程度高于<10分组,且两组患者间的NIHSS评分差异有统计学意义(P<0.05)。≥10分组的活动能力、家庭角色、思维、情绪、社会角色及肢体功能评分均显著高于<10分组(P<0.05)。结论:基于NIHSS评分对脑出血患者进行分组护理,给予针对性的预见性护理措施,能够合理分配和利用护理资源,减少患者发生并发症,改善患者的神经功能恢复,提高患者的生活质量,促进患者早日康复。
Objective: To investigate the effect of group nursing on postoperative neurological rehabilitation and quality of life of patients with cerebral hemorrhage based on the NIH Stroke Scale (NIHSS) score. Methods: A total of 120 patients with cerebral hemorrhage admitted from February 2014 to February 2015 in the Affiliated Hospital of Yan’an University were enrolled. According to the NIHSS score, the patients were divided into 10 groups (60 cases) and <10 groups (60 cases) . The two groups were given targeted predictive nursing measures according to NIHSS scores, and the postoperative neurological rehabilitation and quality of life were compared between the two groups. Results: The total effective rate of ≥10 group was significantly higher than <10 group, the difference was statistically significant (χ2 = 11.582, P = 0.001). The neurological rehabilitation of ≥10 group was higher than <10 group, and NIHSS score was significantly different between the two groups (P <0.05). The scores of activities, family roles, thoughts, emotions, social roles and physical function of ≥10 group were significantly higher than <10 group (P <0.05). Conclusion: Based on the NIHSS score for patients with intracerebral hemorrhage group care, given targeted predictive care measures, can reasonably allocate and use of care resources, reduce complications in patients with improved neurological recovery, improve patient quality of life and promote The patient recovered soon.