预见性护理在动脉瘤性蛛网膜下腔出血 术后脑积水护理中的应用研究

Study on the Application Effect of Predictive Nursing in the Nursing of Hydrocephalus after Aneurysm Subarachnoid Hemorrhage Operation

摘要:

〔摘 要〕 目的：分析评估动脉瘤性蛛网膜下腔出血患者术后脑积水护理期间应用预见性护理的临床效果。方法：选取商丘市第一人民医院 2020 年 1 月至 2022 年 6 月收治的 80 例动脉瘤性蛛网膜下腔出血患者，应用随机数字表法 划分为两组，各 40 例。对照组实施常规护理，观察组以常规护理为基础应用预见性护理，比较两组患者护理效果。结果：护理后，观察组认知功能、预后评分高于对照组，脑功能障碍以及神经功能缺损评分低于对照组，差异具有统 计学意义（P ＜ 0.05）；观察组患者并发症发生率（2.50 %）低于对照组（17.50 %），差异具有统计学意义（P ＜ 0.05）。结论：动脉瘤性蛛网膜下腔出血患者术后脑积水护理期间应用预见性护理对于改善患者预后效果具有积极意义，在促 进患者认知功能、神经功能恢复的同时可以预防并发症发生，有利于改善脑功能障碍。

关键词:动脉瘤性蛛网膜下腔出血;预见性护理;术后脑积水

Abstract:

〔Abstract〕 Objective To analyze and evaluate the clinical effect of predictive nursing during the nursing of postoperative hydrocephalus in patients with aneurysmal subarachnoid hemorrhage. MethodsA total of 80 patients with aneurysmal subarachnoid hemorrhage admitted to the First People's Hospital of Shangqiu from January 2020 to June 2022 were selected and divided into two groups by random number table method, with 40 cases in each group. The control group was given routine nursing, and the observation group was given predictive nursing based on routine nursing. The nursing effects of the two groups were compared. Results After nursing, the cognitive function and prognosis scores of the observation group were higher than those of the control group, and the brain dysfunction and neurological deficit scores were lower than those of the control group, and the differences were statistically significant (P < 0.05). The incidence of complications in the observation group was 2.50 %, which was lower than 17.50 % in the control group, and the difference was statistically significant (P < 0.05). Conclusion The application of predictive nursing during the nursing of postoperative hydrocephalus in patients with aneurysmal subarachnoid hemorrhage has a positive significance for improving the prognosis of patients. It can prevent complications while promoting the recovery of cognitive function and neurological function, which is conducive to improving brain dysfunction.

Key words:Aneurysmal subarachnoid hemorrhage; Predictive nursing; Postoperative hydrocephalus