【摘要】 目的研究个体化全程精准护理干预出血性脑卒中患者的临床疗效。方法采用前瞻性研究方法,从2015年开始入组患者,入院后根据护理方式的不同分为观察组和对照组,截止2018年1月共入组符合条件的出血性脑卒中患者138例,其中观察组78例,观察组采用个体化全程精准护理;对照组60例,对照组采用常规护理。所有入组患者于入院时进行格拉斯哥昏迷评分(GCS评分)和美国国立卒中量表评分(NIHSS评分);观察入院后血压波动、早期血肿扩大、坠积性肺炎、误吸、应激性溃疡、深静脉血栓的发生情况;发病后3个月进行门诊随访,进行格拉斯哥预后评分(GOS评分)和日常生活能力量表巴氏指数(Barthel Index)评价。结果入院时两组患者GCS评分、NIHSS评分差异无统计学意义(P>0. 05);住院期间两组患者血压波动例数、早期血肿扩大例数、深静脉血栓形成例数、应激性溃疡发生例数比较差异无统计学意义(P>0. 05);坠积性肺炎发生例数与误吸发生例数两组比较差异有统计学意义(P<0. 05);发病3个月后,两组患者格拉斯哥预后评分(GOS评分)和日常生活能力量表巴氏指数(Barthel Index)评价差异无统计学意义(P>0. 05),但观察组患者预后良好的比例要高于对照组。结论个体化全程精准护理干预出血性脑卒中是临床护理理念的一次提升,可明显的提高患者的临床治疗及护理效果。更多还原

【Abstract】 Objective To study the clinical efficacy of personalized whole-course precision nursing intervention in patients with hemorrhagic stroke.Methods A prospective study was conducted to enroll 138 eligible patients with hemorrhagic stroke from 2015 to January 2018.After admission,patient enrolled were divided into observation group and control group,including 78 in the observation group and 60 in the control group.The observation group was treated with personalized whole-course precision nursing,while the control group was treated with routine nursing.All enrolled patients were required to complete a Glasgow Coma Score( GCS score) and a US National Stroke Scale score( NIHSS score) on admission and occurrences of blood pressure fluctuations,early hematoma enlargement,hypostatic pneumonia,aspiration,stress ulcers,deep vein thrombosis of enrolled patients were observed and recorded after admission.Outpatient follow-up was performed after 3 months of onset,and the Glasgow Outcome Score( GOS score)and the Daily Living Capacity Scale Barthel Index( Barthel Index) were evaluated.Results There was no significant difference in GCS score and NIHSS score between the two groups on admission( P>0. 05).Occurrences of blood pressure fluctuations,early hematoma enlargement,deep vein thrombosis,and stress ulcer between the two groups during hospitalization shows no significant difference,while there was a significant difference in occurrences of hypostatic pneumonia and aspiration between the two groups( P<0. 05).After 3 months of onset,there was no significant difference in the Glasgow Outcome Score( GOS score) and the Daily Living Capacity Scale Barthel Index( Barthel Index) between the two groups( P>0. 05).However,the proportion of patients with favorable prognosis in the observation group was higher than that in the control group.Conclusion Personalized whole-course precision nursing intervention for hemorrhagic stroke is an improvement of clinical nursing concept,which can significantly improve clinical treatment and nursing efficacy of patients.更多还原