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优质护理对高血压脑出血患者术前应激反应及术后疗效的影响 被引量:41

Impact of high quality nursing on stress before operation and postoperative recovery of patients with hypertensive cerebral hemorrhage surgery
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摘要 目的探讨优质护理对高血压脑出血患者术前应激状态及术后疗效的影响。方法该院2013年1~12月高血压脑出血患者60例,随机分为对照组和观察组,各30例,其中对照组采用常规护理措施,观察组采用优质护理措施,比较2组患者的血浆皮质醇(Cor)、去甲肾上腺素(NE)、肾上腺素(E)含量,以及2组患者平均住院时间、护理满意度、健康积分、生活自理能力及焦虑抑郁情况。结果与对照组患者比较,观察组血浆皮质醇、肾上腺素、去甲肾上腺素含量显著下降,差异有统计学意义(P<0.05);且平均住院时间、健康知识得分及护理满意度均优于对照组,差异有统计学意义(P<0.05);观察组患者的焦虑、抑郁评分及生活自理能力均明显改善,差异有统计学意义(P<0.05)。结论对患者实施优质护理可明显降低术前应激反应,缓解术后焦虑、抑郁情绪,促进患者术后早期康复。 Objective To investigate the impact of high quality nursingonstress before operation and postoper- ative recovery on patients with hypertensive cerebral hemorrhage surgery. Methods Post-operativeclinical data of 60 in, patients in our hospital with hypertensive intracerebral hemorrhage were analyzed,in which 30 patients was the ob- servation group with conventional care measures,while 30 patientsof was the control group with evidence-based care measures. Plasma cortisol (Cor),norepinephrine (NE) and epine-phrine (E) content,and two groups of the average length of hospital stay, satisfaction and health integral, the self-care ability of life, and anxiety depression were com- pared in two groups patientsResults The patientsraverage length of stay and health knowledgescores were signifi- cantly better Than those of the control group. The differences were statisticallysignificant (P^0.05). Patient sati- sfactoriness of the observation group was 93.3 ~./0, significantly higher than that of control group, and the difference was statistically significant (P〈0.05). In addition, patients anxiety and depression scores of the observation group also effectively improved, and the difference was statistically significant (P〈0.05). Conclusion The high quality nursinginterventions have a very significant effect on hypertensive intracerebral hemorrhage, and it is worth being used in clinical practice.
作者 王柏红
出处 《检验医学与临床》 CAS 2015年第11期1587-1588,1591,共3页 Laboratory Medicine and Clinic
关键词 优质护理 高血压 脑出血 手术应激 high quality nursing hypertension cerebral hemorrhage surgical stress
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