中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
18期
2156-2158,2159
,共4页
高血压%卒中%昏迷,脑损伤后%强化护理干预
高血壓%卒中%昏迷,腦損傷後%彊化護理榦預
고혈압%졸중%혼미,뇌손상후%강화호리간예
Hypertension%Coma%Cerebral vascular accident%Strengthening nursing intervention
目的：探讨强化护理干预在高血压病合并脑血管意外后急性昏迷患者护理中的应用效果。方法于2013年4月—2014年4月选取102例高血压病合并脑血管意外后急性昏迷患者，根据入院时间分为对照组50例和观察组52例，其中对照组采用常规急救与护理方法，观察组在对照组基础上采用强化护理干预。比较两组治疗结局、护理相关性并发症发生率和护理满意度的差异。结果两组治愈率、残疾率、植物生存率和病死率比较差异无统计学意义（P ＞0.05）。观察组感染、应激性溃疡、脑水肿、脑疝和下肢深静脉血栓等护理相关并发症发生率均低于对照组，护理满意率高于对照组，差异均有统计学意义（P ＜0.05）。结论严密观察病情，有效的强化护理干预措施有助于降低高血压病合并脑血管意外患者的护理相关并发症发生率，提高护理质量。
目的：探討彊化護理榦預在高血壓病閤併腦血管意外後急性昏迷患者護理中的應用效果。方法于2013年4月—2014年4月選取102例高血壓病閤併腦血管意外後急性昏迷患者，根據入院時間分為對照組50例和觀察組52例，其中對照組採用常規急救與護理方法，觀察組在對照組基礎上採用彊化護理榦預。比較兩組治療結跼、護理相關性併髮癥髮生率和護理滿意度的差異。結果兩組治愈率、殘疾率、植物生存率和病死率比較差異無統計學意義（P ＞0.05）。觀察組感染、應激性潰瘍、腦水腫、腦疝和下肢深靜脈血栓等護理相關併髮癥髮生率均低于對照組，護理滿意率高于對照組，差異均有統計學意義（P ＜0.05）。結論嚴密觀察病情，有效的彊化護理榦預措施有助于降低高血壓病閤併腦血管意外患者的護理相關併髮癥髮生率，提高護理質量。
목적：탐토강화호리간예재고혈압병합병뇌혈관의외후급성혼미환자호리중적응용효과。방법우2013년4월—2014년4월선취102례고혈압병합병뇌혈관의외후급성혼미환자，근거입원시간분위대조조50례화관찰조52례，기중대조조채용상규급구여호리방법，관찰조재대조조기출상채용강화호리간예。비교량조치료결국、호리상관성병발증발생솔화호리만의도적차이。결과량조치유솔、잔질솔、식물생존솔화병사솔비교차이무통계학의의（P ＞0.05）。관찰조감염、응격성궤양、뇌수종、뇌산화하지심정맥혈전등호리상관병발증발생솔균저우대조조，호리만의솔고우대조조，차이균유통계학의의（P ＜0.05）。결론엄밀관찰병정，유효적강화호리간예조시유조우강저고혈압병합병뇌혈관의외환자적호리상관병발증발생솔，제고호리질량。
Objective To investigate the influence of strengthening nursing intervention on acute coma patients with hypertension combined cerebral vascular accident. Methods From April 2013 to April 2014,a total of 102 acute coma patients with hypertension combined cerebral vascular accident,were divided into the control group(n = 50),which were given the conventional treatment and nursing methods,and the observation group(n = 52),which were given the strengthening nursing intervention. The effects and nursing related complications rate were compared. Results The rates of cure,morbidity,mortality and plants survival of two groups had no significant differences( P > 0. 05). Nursing complication of infection,pressure ulcer,brain edema,cerebral hernia and low extremity deep vein thrombosis of the observation group were significantly lower than those of the control group(P < 0. 05). The nursing satisfaction rate between two groups was significantly different(P < 0. 05). The nursing satisfaction of the observation group was significantly higher than that of the control group. Conclusions Intensive observation of disease condition and effectively strengthening nursing intervention are associated with prognosis of acute coma patients with hypertension combined cerebral vascular accident. It helps to reduce nursing complication and improve the quality of nursing care.
