Abstract:

Objective　To analyze the relationship between the degree of early neurological deficit and quality of life in patients with hypertensive cerebral hemorrhage after surgery, which is convenient to carry out clinical nursing measures. Methods　A cross-sectional study was conducted to select 295 patients with hypertensive intracerebral hemorrhage admitted to Shangluo Central Hospital from April 2021 to September 2022 as the study objects. The modified Edinburgh Scandinavia Stroke Scale (MESSS) and Stroke Impact Scale (SIS) were used to evaluate the neurological deficit and quality of life 72 h after surgery. The obtained data were entered into the SPSS 26.0 software for χ² test, ANOVA, and Pearson correlation analysis. Results　A total of 289 valid questionnaires (97.97%) were collected, including 154 males and 135 females, aged (50.37±6.43) years. The MESSS evaluation results showed that there were 131 cases of mild neurological deficit (45.33%), 103 moderate cases (35.64%), and 55 severe cases (19.03%), respectively. Except for the mild group being at a moderate level of the total SIS score, the total SIS score in both moderate and severe groups were at a low level, and there were statistically significant differences in the SIS score among the mild, moderate, and severe groups (all P<0.05). Correlation analysis results showed that the scores of memory and thinking, body, emotion, communication, life ability, behavioral ability, hand function, and social function and total SIS score were negatively correlated with the degree of neurological deficit in 289 patients with hypertensive cerebral hemorrhage (all P<0.05). Conclusions　In patients with hypertensive cerebral hemorrhage after surgery, the more severe the recent neurological deficit, the lower the quality of life. In order to improve the quality of life in patients with hypertensive cerebral hemorrhage after surgery, we can achieve the long-term quality of life from the perspective of various nursing points for promoting neurological recovery.

Key words: Hypertensive cerebral hemorrhage,  , Neurological deficit,  , Quality of life,  , Correlation

摘要：

目的　分析高血压脑出血患者术后早期神经功能缺损程度与生活质量的关系，便于临床开展针对性护理。方法　采用横断面研究，选取2021年4月至2022年9月商洛市中心医院收治的295例高血压脑出血患者作为研究对象，术后72 h采用改良爱丁堡-斯堪的纳维亚卒中量表（modified Edinburgh Scandinavia Stroke Scale，MESSS）、脑卒中影响量表（Stroke Impact Scale，SIS）分别对患者神经功能缺损与生活质量进行评价，并将所得数据录入SPSS 26.0软件进行χ²检验、方差分析、Pearson相关性分析。结果　最终回收有效问卷289份（97.97%），其中男154例、女135例，年龄（50.37±6.43）岁。MESSS评估结果显示，轻、中、重度神经功能缺损患者分别有131例（45.33%）、103例（35.64%）、55例（19.03%）。除轻度组SIS评分处于中等水平外，中、重度组SIS评分均处于低水平；轻、中、重度组的SIS评分两两比较，差异均有统计学意义（均P<0.05）。相关性分析结果显示，289例高血压脑出血患者记忆与思维、躯体、情绪、交流、生活能力、行为能力、手功能、社会功能评分及SIS总分与神经功能缺损程度均呈负相关（均P<0.05）。结论　高血压脑出血患者术后早期神经功能缺损程度越严重，生活质量越低；为了改善高血压脑出血患者术后生活质量，可从促进神经功能恢复的各项护理措施角度出发，以实现远期优质生活质量。

关键词:

高血压脑出血, 神经功能缺损, 生活质量, 相关性