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综合护理在改善颅脑损伤继发脑梗死患者预后及情绪方面的作用

Role of comprehensive nursing care in improving the prognosis and mood of patients with secondary cerebral infarction after craniocerebral injury.

作者信息

Cao Deyan, Chu Nina, Yu Hongyan, Sun Meihua

机构信息

The Second Hospital of Shandong University No. 247 Beiyuan Avenue, Jinan 250033, Shandong Province, China.

Department of Nursing, Penglai TCM Hospital Penglai 250033, Shandong Province, China.

出版信息

Am J Transl Res. 2021 Jun 15;13(6):7342-7348. eCollection 2021.

Abstract

OBJECTIVE

To explore the application value of comprehensive nursing in improving prognosis and relieving bad moods of patients with secondary cerebral infarction after craniocerebral injury.

METHODS

Patients with cerebral infarction secondary to craniocerebral injury in our hospital from January 2017 to October 2019 were selected as the study subjects. According to the random number table method, they were randomly divided into the control group and the observation group, with 40 patients in each group. The control group was given routine nursing care and the observation group was given comprehensive nursing care. The prognosis, the changes of mood before and after nursing, nursing satisfaction, quality of life after nursing, and complications were compared between the two groups.

RESULTS

After the implementation of nursing, the good prognosis rate of the observation group was 90.00% (36/40), significantly higher than that of the control group 60.00% (24/40) (<0.05); the HAMA and HDRS scores of the observation group were significantly better than that of the control group, and the nursing satisfaction rate was higher than that of the control group (<0.05). The total score of quality of life in the observation group was significantly higher than that in the control group, and the incidence of complications was significantly lower than that in the control group (<0.05).

CONCLUSION

Comprehensive nursing care for patients with secondary cerebral infarction after craniocerebral injury can effectively improve prognosis and relieve bad moods, reduce the incidence of complications and improve nursing satisfaction, so as to improve the quality of life of patients.

摘要

目的

探讨综合护理在改善颅脑损伤继发脑梗死患者预后及缓解不良情绪方面的应用价值。

方法

选取2017年1月至2019年10月在我院颅脑损伤继发脑梗死患者作为研究对象。根据随机数字表法,将其随机分为对照组和观察组,每组40例。对照组给予常规护理,观察组给予综合护理。比较两组患者的预后、护理前后情绪变化、护理满意度、护理后生活质量及并发症发生情况。

结果

实施护理后,观察组预后良好率为90.00%(36/40),显著高于对照组的60.00%(24/40)(P<0.05);观察组汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HDRS)评分明显优于对照组,护理满意度高于对照组(P<0.05)。观察组生活质量总分显著高于对照组,并发症发生率显著低于对照组(P<0.05)。

结论

对颅脑损伤继发脑梗死患者实施综合护理可有效改善预后、缓解不良情绪,降低并发症发生率,提高护理满意度,从而改善患者生活质量。

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