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临床护理路径对蛛网膜下腔出血患者术后满意度及生活质量的影响

Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage.

作者信息

Ge Min, Gan Ning, Shan Yuchao, Tian Nan

机构信息

Min Ge, Department of Neurosurgery, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China.

Ning Gan, Department of Neurosurgery, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China.

出版信息

Pak J Med Sci. 2024 Mar-Apr;40(4):747-752. doi: 10.12669/pjms.40.4.7800.

Abstract

OBJECTIVE

To explore the effects of clinical nursing pathway (CNP) on the postoperative satisfaction and quality of life (QOL) of patients with subarachnoid hemorrhage (SAH).

METHODS

This is a retrospective study. Eighty patients with SAH admitted to Baoding No.1 Central Hospital from June 2021 to January 2023 were prospectively divided into a observation group and a control group by random numbers. The control group was given routine nursing, and the observation group was additional given CNP. The prognosis, cognitive function, QOL, self-care ability, nursing satisfaction and the incidence of complications were compared between the two groups.

RESULTS

After CNP nursing, the GCS and MMSE scores in the observation group were higher than those in the control group 14 days, one month and six months after the operation; and the difference was statistically significant (p< 0.05). Six months after the operation, the SS-QOL and Ability of daily living (ADL) scores in both groups were significantly improved compared with those before the intervention; and the improvement in the observation group was significantly better than that in the control group; and the difference was statistically significant(p<0.05). The nursing satisfaction score in the observation group was significantly higher than in the control group. The total incidence of complications in the observation group was lower than that in the control group.

CONCLUSIONS

The CNP intervention in perioperative period of SAH patients has remarkable clinical effect, can improve the pertinence and efficiency of nursing, promote patients to recover as soon as possible, significantly improve the QOL of patients,and is worthy of clinical popularization.

摘要

目的

探讨临床护理路径(CNP)对蛛网膜下腔出血(SAH)患者术后满意度及生活质量(QOL)的影响。

方法

本研究为回顾性研究。将2021年6月至2023年1月在保定市第一中心医院收治的80例SAH患者通过随机数字法前瞻性分为观察组和对照组。对照组给予常规护理,观察组在常规护理基础上给予CNP。比较两组患者的预后、认知功能、生活质量、自我护理能力、护理满意度及并发症发生率。

结果

CNP护理后,观察组术后14天、1个月及6个月的格拉斯哥昏迷量表(GCS)和简易精神状态检查表(MMSE)评分均高于对照组,差异有统计学意义(p<0.05)。术后6个月,两组的生活质量量表简表(SS-QOL)和日常生活能力(ADL)评分均较干预前显著改善,且观察组改善程度明显优于对照组,差异有统计学意义(p<0.05)。观察组护理满意度评分显著高于对照组。观察组并发症总发生率低于对照组。

结论

SAH患者围手术期实施CNP干预具有显著临床效果,可提高护理的针对性和效率,促进患者尽早康复,显著改善患者生活质量,值得临床推广。

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