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护理干预对脑出血非手术患者心理状态、并发症以及满意度的影响
湛自兰1,2,3
1.(1)攀枝花市第三人民医院神经科,四川 攀枝花 617061;2.2)攀枝花市中心医院神经科,四川 攀枝花 617061;3)中山大学第一附属医院神经内科,广东 广州 510080)
摘要:
[摘要]目的 评价护理干预对脑出血非手术患者心理状态、并发症以及满意度的影响.方法 选择攀枝花市第三人民医院2013年1月至2015年6月收治的脑出血非手术患者184例,随机分为观察组和对照组,每组92例,对照组采用常规内科护理措施,观察组在对照组的基础上实施护理干预措施.1个月后,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价2组护理前后心理状态,比较2组并发症发生率以及满意度;采用生活活动能力评定(FIM)量表以及生活质量指数(QLI)评定2组护理前后生活自理能力以及生活质量.结果 与对照组比较,观察组干预后SAS以及SDS评分显著改善(P<0.05);观察组并发症发生率明显低于对照组,满意度明显高于对照组(P<0.05);干预后,观察组FIM以及QLI评分显著优于对照组(P<0.05).结论 护理干预应用于脑出血非手术患者可以明显地改善患者的心理状态和生活质量,减少并发症发生率,提高满意度,值得广泛推广.
关键词:  [关键词]护理干预  脑出血  非手术  心理状态  并发症  满意度
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基金项目:[基金项目]国家临床专科建设项目(卫办医政函2012[649])
Influence of Nursing Intervention on Mental State, Complications and Satisfaction in Patients with Cerebral Hemorrhage
ZHAN Zi-lan1,2,3
1.(1)Dept. of Neurology,The Third People’s Hospital of Panzhihua City,Panzhihua Sichuan 617061;2.2) Dept. of Neurology,Panzhihua Central Hospital of Sichuan Province,Panzhihua Sichuan 617061;3.3)Dept. of Neurology,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou Guangdong 510080,China)
Abstract:
[Abstract]Objective To evaluate the effect of nursing intervention on the psychological status, complications and satisfaction in patients with cerebral hemorrhage. Methods A total of 184 patients with cerebral hemorrhage in the Third People's Hospital of Panzhihua City from January 2013 to June 2015 were randomly divided into observation group and control group with 92 cases in each group. The control group was treated with routine internal medicine nursing, and the observation group received nursing intervention on the basis of the control group. After 1 month, the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the psychological status of the two groups before and after nursing. The incidence of complications and satisfaction were compared between the two groups. The quality of life of the two groups were assessed by the life activity ability rating(FIM) scale and the quality of life index (QLI). Results Compared with the control group, the SAS and SDS score of the observation group after the intervention were significantly improved(P<0.05). The incidence of the observation group was significantly lower than that of the control group, and satisfaction was significantly higher than that of the control group(P<0.05). The FIM and QLI of the observation group were significantly better than that of the control group(P<0.05). Conclusion Nursing intervention can significantly improve the psychological status and quality of life, reduce the incidence of complications, and improve the satisfaction of patients with cerebral hemorrhage. It is worth popularizing widely.
Key words:  [Key words]Nursing intervention  Cerebral hemorrhage  Non operative  Psychological state  Complication  Satisfaction