风险预见性干预对高血压性脑出血患者围手术期的影响

摘要

目的 探究高血压性脑出血患者围手术期实施风险预见性干预对其病情康复及护理工作的影响,为后续的优质诊疗积累循证数据.方法 通过电脑作为遴选媒介,将符合纳入要求,于2015年1月至2016年9月收治的42例调研对象命名为对照组,予以传统护理干预.将符合纳入要求,于2016年10月至2018年6月收治的42例调研对象命名为研究组,在对照组基础上予以风险预见性干预,于患者术前、术后实施风险测评,并进行照护安全级别评估,根据评估结果实施相应干预措施.比较两组患者的住院时间、及时发现病情变化例数、急诊手术例数;比较两组患者在干预后第1周末的护理满意度和出院前不良事件发生情况.结果 研究组住院时间为(11.3±2.1)d,短于对照组的(16.7±2.8)d;研究组及时发现病情变化比例为40.5％,高于对照组的19.1％;研究组急诊手术例数所占比例为35.7％,高于对照组的16.7％;研究组的护理服务满意度为97.6％,高于对照组的83.3％;研究组不良事件发生比例为16.7％,低于对照组的45.2％;两组各指标比较,差异均有统计学意义(均P＜ 0.05).结论 风险预见性干预应用于高血压性脑出血患者,能促进其病情康复,且能提高护理工作成效.%Objective To explore the effect of risk predictive intervention on the recovery and nursing care of patients with hypertensive intracerebral hemorrhage during perioperative period,and to accumulate evidence-based data for follow-up quality diagnosis and treatment.Methods Using computer as the selection medium,42 patients who met the inclusion requirements and who were admitted from January,2015 to September,2016 were named as a control group,and were given traditional nursing intervention.42 patients who met the inclusion criteria and were admitted from October,2016 to June,2018 were named as a study group,and the risk prediction intervention was conducted on the basis of the control group;risk assessment was carried out before and after operation;the level of care safety was assessed;and corresponding interventions were implemented according to the assessment results.The hospitalization time,the number of emergency cases,and the number of emergency operation cases in the two groups were compared.The nursing satisfaction and the incidence of adverse events before and after first weeks of intervention were compared between the two groups.Results The hospitalization time of the study group was (11.3±2.1)days,which was shorter than that of the control group [(16.7±2.8) days].The study group found that the change rate of the disease was 40.5％,which was higher than the control group (19.1％).The proportion of emergency operation cases in the study group was 35.7％,which was higher than that in the control group (16.7％).The satisfaction rate of the nursing service received by the study group was 97.6％,which was higher than the control group's (83.3％).The incidence of adverse events in the study group was 16.7％,which was lower than that in the control group (45.2％).There were statistical differences between these two groups (all P ＜ 0.05).Conclusion The application of risk predictive intervention in patients with hypertensive intracerebral hemorrhage can promote their recovery and the effectiveness of nursing work.