脑出血意识障碍患者实施舒适护理干预的临床疗效.docVIP

精品论文 参考文献 脑出血意识障碍患者实施舒适护理干预的临床疗效 （东南大学附属江阴医院 江苏 无锡 214400） 　　【摘要】 目的：探讨实施舒适护理模式对脑出血意识障碍患者神经功能及生活质量的改善作用。方法：我院从2014年2月～2015年2月期间对60例脑出血意识障碍患者治疗过程中实施舒适护理模式，为干预组。另外2013年2月～2014年1月仅接受常规护理的脑出血意识障碍患者60例，为对照组。统计两组患者干预前后的神经功能缺损（NIHSS）评分、Barthel （BI）指数和格拉斯哥-庇斯布赫昏迷分度表（G-Pcs）评分，以及生活质量（SF-36量表）评分。结果：两组患者干预前NIHSS评分、BI指数、G-Pcs评分及SF-36生活质量量表各项得分相比，差异不具有统计学意义（P＞0.05）；干预后，干预组NIHSS评分、BI指数、G-Pcs评分分别为（11.4plusmn;4.2）分、（88.0plusmn;7.9）分和（24.3plusmn;4.7）分，对照组为（17.5plusmn;5.6）分、（74.3plusmn;7.2）分和（16.2plusmn;2.8）分，差异具有统计学意义（P＜0.05）；干预后，干预组SF-36生活质量量表各项得分明显大于对照组（P＜0.05）。结论：舒适护理模式的实施有利于脑出血意识障碍患者神经功能和生活质量的改善，值得进一步推广。 　　【关键词】 舒适护理；脑出血；神经功能；生活质量 　　【中图分类号】R743.74 【文献标识码】A 【文章编号】2095-1752（2016）29-0032-03 　　Evaluate the effectiveness of Comfortable nursing model for patients with Cerebral hemorrhage consciousness 　　Fan Xiaohua. The Affiliated Jiangyin Hospital of Southeast University, Jiangsu Province, Wuxi 214400, China 　　【Abstract】 Objective To explore the effectiveness of comfortable nursing model for Neurological function and quality of life improvement in patients with cerebral hemorrhage consciousness. Methods Comfortable nursing model were implemented in hospital from February 2014 February 2015 on 60 cases with cerebral hemorrhage consciousness, as the observation group. 60 cases with cerebral hemorrhage consciousness in our hospital emergency department during February 2013 -2014 January in patients were also selected, the patients received only routine nursing, as the control group. The emergency time, hospitalization time and emergency expenses as well as Neurological deficit (NIHSS) score, Barthel (BI) index and Glasgow - Bailey Sibu He coma indexing table (Gcs) score as well as SF-36 scale before and after nursing were recorded and compared in the two groups. Results The difference of NIHSS score, BI index, G-Pcs score and SF-36 scores in two groups before intervention was not statistically significant (Pgt; 0.05); after the intervention, NIHSS