刘晓燕;刘建风;张侠;

• 1:郑州大学第二附属医院

摘要(Abstract)：

目的探讨多感官促醒护理模式对高血压脑出血术后昏迷患者觉醒意识及神经功能的影响。方法收集郑州大学第二附属医院2016-01—2018-12治疗的高血压脑出血术后昏迷患者130例,随机分为常规护理组和多感官促醒护理组。比较2组患者护理干预前后昏迷情况、生理状态、脑功能恢复情况、平均苏醒时间、并发症发生率。结果干预前及干预1周,常规护理组和多感官促醒护理组GCS评分、DFS评分、脑功能评分比较差异无统计学意义(P>0.05);干预2周和干预4周,常规护理组和多感官促醒护理组GCS评分和脑功能评分均较干预前明显升高,DFS评分明显降低,差异有统计学意义(P<0.05)。干预2周和干预4周,多感官促醒护理组GCS评分和脑功能评分均较常规护理组明显升高(分别为2周:9.42±1.43 vs 7.82±1.34,5.99±1.23 vs 3.59±0.63;4周:10.96±2.48 vs 8.95±1.46,9.72±1.48 vs 5.96±1.03),DFS评分较常规护理组明显降低(分别为2周:11.04±1.97 vs 14.98±2.39;4周:6.25±1.32 vs 9.82±2.03),差异均有统计学意义(P<0.05);多感官促醒护理组平均苏醒时间为(19.89±1.96)d,常规护理组平均苏醒时间为(29.08±2.87)d,多感官促醒护理组平均苏醒时间明显短于常规护理组,差异有统计学意义(t=-21.117,P<0.05)。多感官促醒护理组并发症发生率明显低于常规护理组(4.4%vs17.7%),差异有统计学意义(χ~2=5.997,P<0.05)。结论多感官促醒护理干预通过听觉、嗅觉、视觉、触觉等多重感官刺激,促进高血压脑出血术后昏迷患者脑神经功能恢复,尽快苏醒,降低并发症发生率,且该方法简单易行。

关键词(KeyWords)： 高血压脑出血;多感官促醒护理;神经功能;觉醒意识

Abstract:

Keywords:

基金项目(Foundation): 2018年河南省科技厅科技攻关项目(编号：182102311215)

作者(Author): 刘晓燕;刘建风;张侠;

Email:

DOI:

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