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零缺陷护理模式对脑出血患者术后神经康复效果与生活质量的作用探讨
引用本文:肖雯.零缺陷护理模式对脑出血患者术后神经康复效果与生活质量的作用探讨[J].宜春学院学报,2020(3):104-107.
作者姓名:肖雯
作者单位:赣州市人民医院神经外科
摘    要:目的:探讨零缺陷护理模式对脑出血患者术后神经康复效果与生活质量的影响。方法:纳入赣州市人民医院2016年3月至2018年1月收治的、行手术治疗的100例脑出血患者作为研究对象,随机分为观察组(n=50)和对照组(n=50)。对照组采用心理疏导、健康宣教、切口护理、饮食指导等常规护理,观察组在对照组的基础上采用零缺陷护理模式。两组均干预1个月,收集并分析两组患者神经功能评分(NIHSS)、生活自理能力评分(FIM)及生活质量变化情况。结果:观察组干预后NIHSS评分低于对照组,差异具有统计学意义(P<0.05);观察组干预后FIM评分高于对照组,差异具有统计学意义(P<0.05);观察组一般健康状况、生活能力、生理职能、情感职能、躯体疼痛、生理机能、精神健康、社会功能评分均高于对照组,差异具有统计学意义(P<0.05)。结论:零缺陷护理模式能提高脑出血患者患者神经功能修复,提高患者日常生活活动能力,提高患者临床预后效果。

关 键 词:脑出血  零缺陷护理模式  神经功能  生活质量

The Effect of Zero Defect Nursing Mode on Postoperative Neurological Rehabilitation and Quality of Life in Patients with Cerebral Hemorrhage
XIAO Wen.The Effect of Zero Defect Nursing Mode on Postoperative Neurological Rehabilitation and Quality of Life in Patients with Cerebral Hemorrhage[J].Journal of Yichun University,2020(3):104-107.
Authors:XIAO Wen
Institution:(Department of Neurosurgery,Ganzhou People’ s Hospital,Ganzhou 341000,China)
Abstract:Objective:to explore the effect of zero-defect nursing mode on postoperative neurological rehabilitation effect and quality of life of patients with cerebral hemorrhage.Methods:a total of 100 patients with cerebral hemorrhage admitted to Ganzhou People’s Hospital from March 2016 to January 2018 and treated with surgery were included as the study subjects,and were randomly divided into the observation group(n=50)and the control group(n=50).The control group used psychological counseling,health education,incision nursing,diet guidance and other routine nursing,observation group in the control group on the basis of zero defect nursing model.One month of intervention was conducted in both groups,and changes in neurological function score(NIHSS),self-care ability score(FIM)and quality of life were collected and analyzed.Results:after intervention,the NIHSS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the FIM score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of general health status,life ability,physiological function,emotional function,physical pain,physiological function,mental health and social function in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:the zero defect nursing mode can improve the neurological function repair of patients with cerebral hemorrhage,improve the ability of daily life activities of patients,and improve the clinical prognosis of patients.
Keywords:cerebral hemorrhage  Zero defect nursing model  Neurological function  The quality of life
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