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优质护理联合全程责任制护理干预降低重症动脉瘤性蛛网膜下腔出血并发症发生率

High-Quality Nursing Combined with the Whole-Course Responsibility Nursing Intervention Reduces the Incidence of Complications in Severe Aneurysmal Subarachnoid Hemorrhage.

作者信息

Qian Xiaoli, Gong Lin, Zhou Fen, Zhang Yan, Wang Haibo

机构信息

Department of Critical Care Medicine, Hai'an People's Hospital, Nantong, Jiangsu 226600, China.

Neurosurgery Department, Chinese Medical Hospital of Wujin, Wujin, Changzhou, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jul 16;2022:3252718. doi: 10.1155/2022/3252718. eCollection 2022.

Abstract

OBJECTIVE

The aim of this study is to study the influence of whole-course responsibility nursing combined with high-quality nursing intervention on the level of life and complications of severe aneurysmal subarachnoid hemorrhage patients with postoperative coma.

METHODS

From December 2018 to December 2020, 90 severe aneurysmal subarachnoid hemorrhage patients with postoperative coma were selected and were divided into two groups, the experimental group and the control group, with 45 cases in each group. The control group adopted conventional nursing care, and the experimental group received whole-course responsibility nursing combined with high-quality nursing intervention. The nursing effect, degree of coma, coma recovery, and incidence of complications between all groups were compared.

RESULTS

Compared with the control group, the experimental group yielded more favorable achievement in terms of the nursing effect ( < 0.05). Superior levels of the Glasgow Coma Scale (GCS) score, Coma Recovery Scale-Revised (CRS-R) score, GQOLI-74 score, and BI score of the experimental group were obtained and compared with the control group (all < 0.05). The experimental group witnessed a lower complication rate, as compared to the other group ( < 0.05).

CONCLUSION

The whole-course responsibility nursing combined with high-quality nursing intervention is applied to severe aneurysmal subarachnoid hemorrhage patients with postoperative coma, which can substantially optimize the nursing efficiency, improve the degree of coma, help recover consciousness, ameliorate the mental state and the quality of life, and reduce the incidence of complications, which is worthy of clinical application.

摘要

目的

本研究旨在探讨全程责任制护理联合优质护理干预对重症动脉瘤性蛛网膜下腔出血术后昏迷患者生活水平及并发症的影响。

方法

选取2018年12月至2020年12月收治的90例重症动脉瘤性蛛网膜下腔出血术后昏迷患者,分为实验组和对照组,每组45例。对照组采用常规护理,实验组采用全程责任制护理联合优质护理干预。比较两组护理效果、昏迷程度、昏迷恢复情况及并发症发生率。

结果

与对照组相比,实验组护理效果更佳(<0.05)。实验组格拉斯哥昏迷量表(GCS)评分、昏迷恢复量表修订版(CRS-R)评分、生活质量综合评定问卷-74(GQOLI-74)评分及巴氏指数(BI)评分均高于对照组(均<0.05)。实验组并发症发生率低于对照组(<0.05)。

结论

全程责任制护理联合优质护理干预应用于重症动脉瘤性蛛网膜下腔出血术后昏迷患者,可显著提高护理效率,改善昏迷程度,促进意识恢复,改善精神状态及生活质量,降低并发症发生率,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e538/9308550/a746badfcef9/ECAM2022-3252718.001.jpg

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