围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的效果观察(1)
摘 要：目的 探究围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果。方法 选取我院2016年2月～2017年1月收入的高血压脑出血小骨窗开颅血肿清除术治疗患者88例，随机分为常规护理组和优质护理组各44例。常规护理组围手术期护理采用常规护理；优质护理组围手术期护理采用优质护理。比较两组患者护理满意度，疾病认知、手术知识认知、手术治疗依从性，围手术期不良事件发生率和护理前后不良情绪。结果 优质护理组护理满意度，疾病认知、手术知识认知、手术治疗依从性，围手术期不良事件发生率，均优于常规护理组，差异有统计学意义(P<0.05)。护理后优质护理组患者不良情绪轻于常规护理组，差异有统计学意义(P<0.05)。结论 围手术优质护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果确切，可提高患者疾病和手术认知，减轻不良情绪，提高治疗依从性，减少并发症，值得推广。
关键词：围手术护理干预；高血压脑出血；小骨窗开颅血肿清除术
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.02.064
, 百拇医药
文章编号：1006-1959(2018)02-0166-02
Abstract：Objective To explore the nursing effect of perioperative nursing intervention in small bone window craniotomy for hypertensive intracerebral hemorrhage.Methods A total of 88 patients with hypertensive intracerebral hemorrhage from February 2016 to January 2017 in our hospital were randomly divided into routine care group and high quality care group and 44 cases in each group.Routine nursing care was adopted in the perioperative nursing care.Quality care group perioperative care using quality care.The two groups were compared on nursing satisfaction，disease cognition，surgical knowledge cognition，surgical treatment compliance，incidence of perioperative adverse events and pre-and post-care negative emotions.Results The nursing satisfaction， disease cognition，cognition of surgical knowledge，compliance of surgical treatment and perioperative adverse events in quality nursing group were better than those in routine nursing group，the difference was statistically significant(P<0.05).The negative emotion of the patients in the quality nursing group after nursing was less than that in the routine nursing group.The difference was statistically significant(P<0.05).Conclusion The quality nursing intervention of perioperative nursing in the clearance of small craniotomy hematoma of hypertensive intracerebral hemorrhage is effective，and can improve the patients' disease and operation cognition.It is worth popularizing to alleviate the bad emotion，improve the compliance of treatment and reduce the complications.
, 百拇医药
Key words：Perioperative nursing intervention；Hypertensive intracerebral hemorrhage；Small bone window craniotomy and hematoma clearance
小骨窗開颅血肿清除术治疗高血压脑出血是一种微创、有效的方法，在围手术期通过合理、有效的护理干预，可提高患者治疗依从性，确保手术成功，加速术后康复[1-2]。本研究探讨了围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果，报道如下。
1资料与方法
1.1一般资料 选取2016年2月～2017年1月我院收入的高血压脑出血小骨窗开颅血肿清除术治疗患者88例，所有患者均知情同意。随机分为常规护理组和优质护理组各44例。常规护理组男28例，女16例，年龄53～75岁，平均年龄(67.73±5.21)岁；合并糖尿病15例，合并冠心病16例，合并呼吸系统疾病13例。优质护理组男27例，女17例，年龄52～75岁，平均年龄(67.14±5.59)岁；合并糖尿病16例，合并冠心病17例，合并呼吸系统疾病11例。两组患者资料差异无统计学意义(P>0.05)，有可比性。, 百拇医药(刘伟兰 罗丽珍)
关键词：围手术护理干预；高血压脑出血；小骨窗开颅血肿清除术
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.02.064
, 百拇医药
文章编号：1006-1959(2018)02-0166-02
Abstract：Objective To explore the nursing effect of perioperative nursing intervention in small bone window craniotomy for hypertensive intracerebral hemorrhage.Methods A total of 88 patients with hypertensive intracerebral hemorrhage from February 2016 to January 2017 in our hospital were randomly divided into routine care group and high quality care group and 44 cases in each group.Routine nursing care was adopted in the perioperative nursing care.Quality care group perioperative care using quality care.The two groups were compared on nursing satisfaction，disease cognition，surgical knowledge cognition，surgical treatment compliance，incidence of perioperative adverse events and pre-and post-care negative emotions.Results The nursing satisfaction， disease cognition，cognition of surgical knowledge，compliance of surgical treatment and perioperative adverse events in quality nursing group were better than those in routine nursing group，the difference was statistically significant(P<0.05).The negative emotion of the patients in the quality nursing group after nursing was less than that in the routine nursing group.The difference was statistically significant(P<0.05).Conclusion The quality nursing intervention of perioperative nursing in the clearance of small craniotomy hematoma of hypertensive intracerebral hemorrhage is effective，and can improve the patients' disease and operation cognition.It is worth popularizing to alleviate the bad emotion，improve the compliance of treatment and reduce the complications.
, 百拇医药
Key words：Perioperative nursing intervention；Hypertensive intracerebral hemorrhage；Small bone window craniotomy and hematoma clearance
小骨窗開颅血肿清除术治疗高血压脑出血是一种微创、有效的方法，在围手术期通过合理、有效的护理干预，可提高患者治疗依从性，确保手术成功，加速术后康复[1-2]。本研究探讨了围手术护理干预在高血压脑出血小骨窗开颅血肿清除术中的护理效果，报道如下。
1资料与方法
1.1一般资料 选取2016年2月～2017年1月我院收入的高血压脑出血小骨窗开颅血肿清除术治疗患者88例，所有患者均知情同意。随机分为常规护理组和优质护理组各44例。常规护理组男28例，女16例，年龄53～75岁，平均年龄(67.73±5.21)岁；合并糖尿病15例，合并冠心病16例，合并呼吸系统疾病13例。优质护理组男27例，女17例，年龄52～75岁，平均年龄(67.14±5.59)岁；合并糖尿病16例，合并冠心病17例，合并呼吸系统疾病11例。两组患者资料差异无统计学意义(P>0.05)，有可比性。, 百拇医药(刘伟兰 罗丽珍)