集束化护理干预对动脉瘤性蛛网膜下腔出血患者头痛及预后的影响(1)
【摘要】 目的：分析集束化护理干预对动脉瘤性蛛网膜下腔出血患者头痛及预后的影响。方法：选取2017年1月-2019年2月在本院就诊的动脉瘤性蛛网膜下腔出血患者88例，按随机数字表法分为对照组与观察组，各44例。对照组给予常规护理，观察组采用集束化护理干预。比较两组头痛程度、功能状态及并发症发生情况。结果：干预7 d后，观察组头痛视觉模拟评分量表(VAS)评分低于对照组(P<0.05)。干预后3个月，观察组卡式(KPS)评分高于对照组(P<0.05)。观察组并发症发生率为4.55%低于对照组的18.18%(P<0.05)。结论：集束化护理干预可有效减轻动脉瘤性蛛网膜下腔出血患者头痛症状，改善患者预后并降低并发症发生率，值得临床推广。
【关键词】 动脉瘤性蛛网膜下腔出血 集束化护理 头痛 KPS评分
[Abstract] Objective： To analyze the effect of cluster nursing intervention on headache and prognosis of patients with aneurysmal subarachnoid hemorrhage. Method： A total of 88 patients with aneurysmal subarachnoid hemorrhage admitted to our hospital from January 2017 to February 2019 were selected. They were divided into control group and observation group according to the random number table method， with 44 patients in each group. The control group was given routine nursing， and the observation group was given cluster nursing intervention. Headache degree， functional status and complications were compared between the two groups. Result： After 7 d of intervention， the visual analogue scale (VAS) score of headache in the observation group was lower than that in the control group (P<0.05). 3 months after intervention， the Karnofsky performance status (KPS) score of the observation group was higher than that of the control group (P<0.05). The incidence of complications in the observation group was 4.55% lower than 18.18% in the control group (P<0.05). Conclusion： Cluster nursing intervention can effectively reduce the headache symptoms of patients with aneurysmal subarachnoid hemorrhage， improve the prognosis of patients and reduce the incidence of complications， which is worthy of clinical promotion.
[Key words] Aneurysmal subarachnoid hemorrhage Cluster nursing Headache KPS score
First-author’s address： Ganzhou People’s Hospital， Ganzhou 341000， China
doi：10.3969/j.issn.1674-4985.2020.16.019
動脉瘤性蛛网膜下腔出血是因颅内动脉瘤破裂，血液进入蛛网膜下腔而引起的临床综合征，具有较高的致残率及死亡率[1-2]。头痛是该疾病常见临床症状，常导致患者出现血压增高、失眠等情况，增加再出血发生率。随着神经介入技术的进步，颅内动脉瘤介入栓塞术已成为临床治疗该疾病主要手段之一[3-4]。但手术容易引发脑血管痉挛、脑积水、穿刺部位血肿等严重并发症，不利于患者康复，术后需加强对患者的观察与护理，以预防并发症的发生，促进患者术后恢复[5-6]。集束化护理是将有循证基础和相互关联的优质干预措施结合成全面、综合的护理方案，具由较强的针对性，在临床护理工作中取得较好的应用效果[7-8]。基于此，本研究旨在探究集束化护理干预在动脉瘤性蛛网膜下腔出血患者中的应用效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2017年1月-2019年2月于本院就诊的动脉瘤性蛛网膜下腔出血患者88例。纳入标准：经数字减影血管造影(DAS)、CT检查确诊为动脉瘤性蛛网膜下腔出血;行介入手术治疗且术后生命体征平稳;无相关药物禁忌证。排除标准：存在精神病史;既往开颅手术史或神经科疾病史;严重过敏体质;局部皮肤破损严重。按随机数字表法分为对照组与观察组，每组各44例。所有患者及家属均知情同意并签署知情同意书，本研究已经医院伦理委员会批准。, http://www.100md.com(潘丽民)
【关键词】 动脉瘤性蛛网膜下腔出血 集束化护理 头痛 KPS评分
[Abstract] Objective： To analyze the effect of cluster nursing intervention on headache and prognosis of patients with aneurysmal subarachnoid hemorrhage. Method： A total of 88 patients with aneurysmal subarachnoid hemorrhage admitted to our hospital from January 2017 to February 2019 were selected. They were divided into control group and observation group according to the random number table method， with 44 patients in each group. The control group was given routine nursing， and the observation group was given cluster nursing intervention. Headache degree， functional status and complications were compared between the two groups. Result： After 7 d of intervention， the visual analogue scale (VAS) score of headache in the observation group was lower than that in the control group (P<0.05). 3 months after intervention， the Karnofsky performance status (KPS) score of the observation group was higher than that of the control group (P<0.05). The incidence of complications in the observation group was 4.55% lower than 18.18% in the control group (P<0.05). Conclusion： Cluster nursing intervention can effectively reduce the headache symptoms of patients with aneurysmal subarachnoid hemorrhage， improve the prognosis of patients and reduce the incidence of complications， which is worthy of clinical promotion.
[Key words] Aneurysmal subarachnoid hemorrhage Cluster nursing Headache KPS score
First-author’s address： Ganzhou People’s Hospital， Ganzhou 341000， China
doi：10.3969/j.issn.1674-4985.2020.16.019
動脉瘤性蛛网膜下腔出血是因颅内动脉瘤破裂，血液进入蛛网膜下腔而引起的临床综合征，具有较高的致残率及死亡率[1-2]。头痛是该疾病常见临床症状，常导致患者出现血压增高、失眠等情况，增加再出血发生率。随着神经介入技术的进步，颅内动脉瘤介入栓塞术已成为临床治疗该疾病主要手段之一[3-4]。但手术容易引发脑血管痉挛、脑积水、穿刺部位血肿等严重并发症，不利于患者康复，术后需加强对患者的观察与护理，以预防并发症的发生，促进患者术后恢复[5-6]。集束化护理是将有循证基础和相互关联的优质干预措施结合成全面、综合的护理方案，具由较强的针对性，在临床护理工作中取得较好的应用效果[7-8]。基于此，本研究旨在探究集束化护理干预在动脉瘤性蛛网膜下腔出血患者中的应用效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2017年1月-2019年2月于本院就诊的动脉瘤性蛛网膜下腔出血患者88例。纳入标准：经数字减影血管造影(DAS)、CT检查确诊为动脉瘤性蛛网膜下腔出血;行介入手术治疗且术后生命体征平稳;无相关药物禁忌证。排除标准：存在精神病史;既往开颅手术史或神经科疾病史;严重过敏体质;局部皮肤破损严重。按随机数字表法分为对照组与观察组，每组各44例。所有患者及家属均知情同意并签署知情同意书，本研究已经医院伦理委员会批准。, http://www.100md.com(潘丽民)
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