目的：探讨优质护理干预对微创血肿清除术（MIHD）治疗高血压脑出血（HICH ）效果的影响。方法将在该院接受 MIHD 治疗的52例 HICH 患者随机分为观察组（26例）和对照组（26例）。对照组接受常规护理，观察组在常规护理的基础上针对情绪、作息以及治疗情况给予优质护理干预。统计两组患者 MIHD 治疗后的神经功能、日常生活自理能力以及护理满意度。结果观察组患者接受手术后1、3个月后的神经功能缺损程度评分分别为（16．3±3．9）分和（14．3±5．5）分，对照组为（22．4±6．3）分和（19．4±4．1）分，观察组神经功能缺损程度评分明显低于对照组，而且都低于入院前，差异有统计学意义（P ＜0．05），两组患者治疗前神经功能缺损程度评分差异无统计学意义（P＞0．05）；观察组患者接受手术后1、3个月后的日常生活的自理能力评分分别为（85．4±6．9）分和（91．7±5．8）分，对照组为（76．7±7．2）分和（81．3±7．3）分，观察组日常生活的自理能力评分明显高于对照组，差异有统计学意义（P＜0．05）；观察组护理的满意度为92．3％，明显高于对照组的69．2％，差异有统计学意义（ P ＜0．05）。结论优质护理干预可以明显提高 MIHD 治疗 HICH 效果，提高患者生活能力，使患者获得有效治疗，在临床上有重要意义。%Objective To research the influence of high quality nursing intervention on the effect of minimally invasive hematoma drainage(MIHD) for treating hypertensive intraecerebral hemorrhage(HICH) .Methods 52 cases of HICH treated by MIHD in our hospital were selected and randomly divided into the observation group (26 cases) and the control group(26 cases) .The control group was given the routine care ,while on this basis the observation group was given the high quality nursing interventions ,including emotional ,work and rest ,dietary interventions and discharge guidance .The self‐care ability evaluation ,neurologic impairment score and nursing satisfaction in the two groups were observed and evaluated .Results The neurologic impairment score at postoperative 1 ,3 months in obser‐vation group were (16 .3 ± 3 .9) points and (14 .3 ± 5 .5) points ,which were significantly lower than (22 .4 ± 6 .3) points and (19 .4 ± 4 .1) points in control group respectively ,the neurologic impairment scores in the observation group were significantly lower than those in the control group ,moreover all were lower than those before admission , the differences were statistically significant (P < 0 .05) .The neurologic impairment scores before treatment had no statistical differences between the two groups (P > 0 .05) .The self‐care ability scores at postoperative 1 ,3 months were (85 .4 ± 6 .9) points and (91 .7 ± 5 .8) in the observation group ,and (76 .7 ± 7 .2) points and (81 .3 ± 7 .3) in the control group ,the observation group was significantly higher than the control group ,the differences were statistically significant(P< 0 .05) ;the satisfaction rate was 92 .3% in the observation group and 69 .2% in the control group ,the intervention group was significantly higher than the control group ,the difference between the two groups was statis‐tically significant (P< 0 .05) .Conclusion High quality nursing intervention can significantly improve the treatment effect of MIHD ,increase the living ability of patients ,make the patients to obtain the effective treatment ,thus which has an important signifieance inclinic .
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