临床护理路径在微创治疗脑出血脑疝的临床效果.docVIP

临床护理路径在微创治疗脑出血脑疝的临床效果 　　[摘要] 目的 探讨临床护理路径在微创治疗脑出血脑疝的护理效果。 方法 选择微创治疗脑出血脑疝患者60例随机分为干预组和对照组。对照组给予常规护理，干预组给予临床护理路径进行护理。比较两组的护理效果。 结果 干预组家属对疾病相关知识掌握情况平均得分显著高于对照组，并且达标比例显著高于对照组（P0.01）。出院时干预组患者焦虑及抑郁得分均显著低于对照组（P0.01）。出院后5个月随访，干预组患者整体恢复情况优于对照组（P0.01）。 结论 临床护理路径能够显著改善微创治疗脑出血脑疝患者的临床护理效果，改善患者的预后。 　　[关键词] 临床护理路径；脑出血；脑疝；微创 　　[中图分类号] R473.74 [文献标识码] B [文章编号] 2095-0616（2015）14-94-04 　　Clinical effect of clinical care path for cerebral hemorrhage cerebral hernia treated by minimally invasive 　　HUANG Yanling 　　Third Surgical，Dapu County Peoples Hospital，Guangdong， Dapu 514299， China 　　[Abstract] Objective To discuss clinical effect of clinical care path for cerebral hemorrhage cerebral hernia treated by minimally invasive. Methods Selected 60 cases with cerebral hemorrhage cerebral hernia treated by minimally invasive were divided into intervention group and control group. Control group received normal nursing， and intervention group received clinical care path nursing intervention. Clinical effects of two groups were compared. Results Score of disease related knowledge of family member of intervention group was higher than that of control group， and reaching the standard rates was higher than that of control group（P0.01）.SAS and SDS scores of intervention group were lower than those of control group on discharge （P0.01）. Followed-up at 5th month after discharge， the recovery of intervention group was better than that of control group（P0.01）. Conclusion Clinical care path for cerebral hemorrhage cerebral hernia treated by minimally invasive can improve clinical nursing efficacy， and improve prognosis. 　　[Key words] Clinical care path； Cerebral hemorrhage； Cerebral hernia； Minimally invasive 　　脑出血是指原发性非外伤性脑实质内出血，致命性脑出血可直接导致死亡。脑出血一旦发生脑疝往往危及患者的生命，需要及时清除血肿等积极治疗。颅内血肿钻孔引流加尿激酶冲洗是临床上常见的微创手术，具有较好的效果。护理作为医疗工作的一部分，对患者的治疗效果、康复训练、功能恢复等均具有重要的意义。临床护理路径是根据每天的标准护理计划对患者进行住院护理，一方面能够给护士提供可预见性的工作，工作更有针对性，一方面能够让患者的家属明确护理目标，并积极参与[1]。本研究分析临床护理路径在微创治疗脑出血脑疝患者的护理效果。现将研究结果报道如下。 　　1 资料与方法 　　1.1 一般资