| 宋媛媛.奥马哈式延续护理对高血压性脑出血术后康复的影响[J].安徽医药,2019,23(5):910-913. |
| 奥马哈式延续护理对高血压性脑出血术后康复的影响 |
| Effect of Omaha-type continuous nursing on postoperative rehabilitation of patients with hypertensive intracerebral hemorrhage |
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| DOI：10.3969/j.issn.1009-6469.2019.05.018 |
| 中文关键词: 颅内出血,高血压性 康复护理 生活质量 病人满意度 手术后医护 奥马哈系统 延续护理 |
| 英文关键词: Intracranial hemorrhage,Hypertensive Rehabilitation nursing Quality of life Patients’ satisfaction Postoperative care Omaha system Continuous nursing |
| 基金项目:河北省2014年度医学科学研究重点课题计划(ZL20140055) |
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| 中文摘要: |
| 目的 研究奥马哈式延续护理对高血压性脑出血术后康复的影响。方法 选取2015年8月至2016年8月哈励逊国际和平医院收治的高血压脑出血术后病人84例。以随机数字表法分成观察组和对照组,每组42例。对照组予以常规护理干预,观察组在常规护理的基础上予以奥马哈式延续护理干预。分别对比两组病人护理前后行为、认知和状态评分,心理状态、生活质量、自理能力以及满意度。结果 护理后观察组的行为、认知和状态评分分别为(2.9±0.3)分、(2.5±0.5)分、(3.4±0.4)分,均显著高于对照组的(2.1±0.5)分、(1.6±0.5)分、(2.4±0.4)分,均差异有统计学意义(均P＜0.05)。护理后观察组的SAS、SDS评分分别为(29.8±3.1)分、(22.1±1.8)分,均显著低于对照组的(38.2±4.5)分、(31.5±2.4)分,均差异有统计学意义(均P＜0.05)。护理后观察组病人QLI、FIM评分分别为(7.5±1.7)分、(94.0±21.4)分,均显著高于对照组的(6.3±2.0)分、(84.5±19.5)分,均差异有统计学意义(均P＜0.05)。观察组病人满意度为95.24%(40/42),显著高于对照组的78.57%(33/42),差异有统计学意义(P＜0.05)。结论 奥马哈式延续护理可有效提高高血压性脑出血病人术后康复中的行为、认知能力,消除负性情绪,提高病人的生活质量以及满意度。 |
| 英文摘要: |
| Objective To study the effect of Omaha-type continuous nursing on postoperative rehabilitation of patients with hypertensive intracerebral hemorrhage.Methods A total of 84 patients with hypertensive cerebral hemorrhage from August 2015 to August 2016 in Harrison International Peace Hospital were selectedand randomly divided into observation group and control group by random digital form method,with 42 cases in each group.The control group was given routine nursing intervention,and the observation group was given Omaha-type continuous nursing on the basis of routine nursing.The scores of behavior,cognition and state,mental state,quality of life,self-care ability and satisfaction before and after nursing were compared between the two groups. Results The scores of behavior,cognition and state after nursing in the observation group were (2.9±0.3)points,(2.5±0.5)points and(3.4±0.4)points,respectively,which were significantly higher than those of control group (2.1±0.5)points,(1.6±0.5)points,(2.4±0.4)points,and the differences were statistically significant (P＜0.05).After nursing,the SAS and SDS scores of the observation group were (29.8±3.1) points and (22.1±1.8) points,all significantly lower than those of the control group (38.2±4.5) points,(31.5±2.4)points,the differences were statistically significant (P＜0.05).QLI and FIM scores in the observation group were (7.5±1.7)points and (94±21.4)points,respectively,which were significantly higher than those of control group (6.3±2)points,(84.5±19.5)points,and the differences were statistically significant (P＜0.05).The satisfaction rate in the observation group was 95.24% (40/42),which was significantly higher than that of the control group 78.57% (33/42),and the difference was statistically significant (P＜0.05).Conclusion Omaha-style continuous nursing can effectively improve the behavior and cognitive ability of patients with hypertensive cerebral hemorrhage after rehabilitation,eliminate negative emotions,improve patients’ quality of life and satisfaction. |
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