预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响

Effect of preventive nursing intervention on incidenceof postoperative infection and satisfaction in elderly patients with hypertensive intracerebral hemorrhage

  • 摘要:
      目的  探讨预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响。
      方法  收集80例老年高血压脑出血患者随机分为2组,常规组采用常规护理,预防性护理组采用预防性护理干预,比较2组患者神经与运动功能、感染率、非感染性并发症、满意度与日常生活能力。
      结果  预防性护理组干预后上肢肌力、下肢肌力与总FMA评分均显著高于常规组, NIHSS评分显著低于常规组(P < 0.05); 预防性护理组的总感染率和总体非感染性并发症发生率显著低于常规组(P < 0.05); 预防性护理组的满意度和末期随访ADL总分显著高于常规组(P < 0.05)。
      结论  预防性护理干预对老年高血压脑出血患者术后感染发生率及满意度的影响效果显著。

     

    Abstract:
      Objective  To investigate the effect of preventive nursing intervention on postoperative infection rate and satisfaction in elderly patients with hypertensive cerebral hemorrhage.
      Methods  A total of 80 senile patients with hypertensivecerebral hemorrhage admitted to our hospital were randomly divided into two groups. The routine group received routine nursing, and the preventive nursing group received preventive nursing intervention. Neurological and motor function, infection rate, non-infectious complications, satisfaction and daily living ability were compared.
      Results  The upper and lower limb muscle strength and total Fugl-Meyer Scale (FMA) scores were significantly higher, and the National Institutes of Health Stroke Scale(NIHSS) score was significantly lower in the preventive nursing group than those in the conventional group; the total infection rate, and incidence of non-infectious complication were significantly lower than that in the routine group; the satisfaction rate and Activity of Daily Life Scale (ADL) were significantly better than that of the routine group(P < 0.05).
      Conclusion  Preventive nursing intervention has a significant effect on the incidence of postoperative infection and satisfaction in elderly patients with hypertensive cerebral hemorrhage.

     

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