系统护理对脑出血患者术后心理状态的影响

张美乐，杜峰

（陕西省咸阳市中心医院，陕西 咸阳，712000）

浏览次数：80次 下载次数：583次

摘要：

目的 研究系统护理对脑出血患者术后心理状态的影响。方法 以我院2014年7月至2016年2月收治的100例脑出血术后患者作为研究对象，随机分为对照组与观察组，各50例。对照组患者实施一般护理，观察组患者在此基础上给予系统护理。观察两组患者的护理依从性、护理前、后抑郁和焦虑情况及生活质量。结果 护理后，观察组患者的护理总依从率为92.00%，较对照组明显更高（P<0.05）；观察组患者的抑郁评分、焦虑评分均优于对照组患者（P<0.05）；观察组患者护理后的生活质量评分明显高于对照组，差异有统计学意义（P<0.05）。结论 系统护理应用于脑出血术后患者中，能够显著改善患者的心理状况，提高护理依从性及生活质量。

关键词：系统护理；脑出血；术后；心理状况

中图分类号：R473.74文献标志码：A文章编号：2096-1413(2017)09-0183-02

Effect of systematic nursing on psychological state of patients with cerebral hemorrhage after operation
ZHANG Mei-le, DU Feng
(Central Hospital of Xianyang, Xianyang 712000, China)

ABSTRACT: Objective To study the effect of systematic nursing on psychological state of patients with cerebral hemorrhage after operation. Methods One hundred cases of patients with cerebral hemorrhage after operation admitted in our hospital from July 2014 to February 2016 were selected as the study objects. All the patients were randomly divided into control group and observation group, with 50 cases in each group. The control group received conventional nursing, while the observation group accepted systematic nursing on the basis of the control group. The nursing compliance, depression and anxiety situation before and after nursing and quality of life of the two groups were compared. Results After nursing, the nursing compliance rate of the observation group was 92.00%, which was higher than that of the control group (P<0.05). The depression and anxiety scores of the observation group were higher than those of the control group (P<0.05); the quality of life score of the observation group were higher than that of the control group (P<0.05). Conclusion System nursing on patients with cerebral hemorrhage after operation not only can significantly improve their psychological status and ease their depression and anxiety, but also can improve nursing compliance and quality of life.
KEYWORDS: systematic nursing; cerebral hemorrhage; after operation; psychological status

参考文献：
[1] 王瑞玲.脑出血手术后ICU内患者的心理特点分析与护理干预[J]. 世界最新医学信息文摘:连续型电子期刊,2015,15(22):32-34.
[2] 李静,王国琳,穆嵩.微创血肿清除术治疗高血压脑出血患者的护理体会[J].医学美学美容(中旬刊),2015,24(6):579.
[3] 邓清丹.探讨脑出血术后患者常见并发症及预防护理措施[J].心理 医生,2016,22(14):6-7.
[4] 谷文燕,石艳丽,李林倩等.脑出血术后心理护理对患者认知功能的作用分析[J].临床医药文献电子杂志,2016,3(11):2100.
[5] FLETCHER JJ,KOTAGAL V,MAMMOSER A,etal.Cost-effectiveness of transfers to centers with neurological intensive care units after intracerebral hemorrhage[J].Stroke,2015,46(1):58-64.
[6] 姚静,刘栋.脑出血手术前后护理干预措施及效果评价[J].国际医药卫生导报,2015,21(23):3506-3507.
[7] 冯敏.早期康复护理对脑出血患者术后生活质量的改善和肢体功能恢复的影响[J].心理医生,2015,21(10):12-13.
[8] 田少辉.高血压脑出血术后应用神经节苷脂的临床疗效[J].世界临床医学,2015,9(6):141.
[9] 曾玉梅.500例脑出血患者术后ICU护理观察[J].心理医生,2015,21(17):11-12.