Abstract: Objective To explore the effect of predictive nursing for patients with hypertensive intracerebral hemorrhage. Methods From February 2019 to May 2020, 94 patients with hypertensive intracerebral hemorrhage were selected as the research objects. The patients were randomly divided into two groups, the control group and the observation group, with 47 cases in each group. The control group was given routine nursing care, while the observation group was given predictive nursing, psychological nursing, diet nursing, prevention and nursing of complications, to reduce the incidence of pulmonary infection, constipation, hyperpyrexia, pressure sores, and other complications as far as possible. The treatment effect, quality of life improvement, and complications of the two groups were compared. Results After the implementation of nursing intervention, the NIHSS score and Barthel score of the two groups were significantly different from those before nursing (all P<0.05); the NIHSS score of the observation group was lower than that of the control group [(15.78±4.14) vs.(27.23±4.11)] (P<0.05), the Barthel score of the observation group was higher than that of the control group [(75.18±5.11) vs.(65.23±5.09)] (P<0.05); the scores of physical function, mental function, social function, material life of GQOLI-74 in the observation group were (87.23±7.57), (87.15±10.24), (88.23±9.13), (88.03±7.18), respectively, which were higher than those in the control group [(78.01±6.23), (75.22±8.23), (78.15±9.05), (79.22±7.22)] (all P<0.05). The rates of complications of the observation group and the control group were 6.38% (3/47) and 23.40% (11/47), respectively, with statistically significant difference between the two groups (P<0.05). Conclusion After the implementation of predictive nursing, the neurological function of patients with hypertensive intracerebral hemorrhage is significantly improved, the ability of daily life and quality of life are significantly improved, and the occurrence of complications is reduced, which helps patients obtain a good prognosis.

Key words: Predictive nursing, Hypertensive intracerebral hemorrhage, Prognosis

摘要： 目的 探讨预见性护理用于高血压脑出血患者的效果。方法 选取2019年2月至2020年5月期间在本院住院的94例高血压脑出血患者为研究对象,采用电脑随机分配法将患者分为对照组与观察组,每组47例。对照组实施常规护理;观察组实施预见性护理,主要对患者开展心理护理、饮食护理及并发症的预防及护理,尽可能降低肺部感染、便秘、高热及压疮等并发症的发生,对比两组患者取得的治疗效果、生活质量改善情况及并发症发生情况。结果 实施护理干预后,两组NIHSS评分及Barthel评分与护理前比较差异均有统计学意义(均P<0.05);观察组NIHSS评分为(15.78±4.14)分,低于对照组的(27.23±4.11)分(P<0.05);观察组Barthel评分为(75.18±5.11)分,高于对照组的(65.23±5.09)分(P<0.05);观察组GQOLI-74的躯体功能、心理功能、社会功能及物质生活状态4个维度评分分别为(87.23±7.57)分、(87.15±10.24)分、(88.23±9.13)分及(88.03±7.18)分,均高于对照组的(78.01±6.23)分、(75.22±8.23)分、(78.15±9.05)分及(79.22±7.22)分,两组比较差异均有统计学意义(均P<0.05);观察组与对照组的并发症发生率分别为6.38%(3/47)及23.40%(11/47),差异有统计学意义(P<0.05)。结论 实施预见性护理后,高血压脑出血患者的神经功能显著改善,日常生活能力及生活质量得以显著提升,还能减少并发症的发生,帮助患者获得良好预后。

关键词: 预见性护理, 高血压脑出血, 预后