脑出血意识障碍患者实施舒适护理干预的临床疗效(东南大学附属江阴医院江苏无锡214400)【摘要】目的：探讨实施舒适护理模式对脑出血意识障碍患者神经功能及生活质量的改善作用。方法：我院从2014年2月〜2015年2月期间对60例脑出血意识障碍患者治疗过程中实施舒适护理模式，为干预组。另外2013年2月〜2014年1月仅接受常规护理的脑出血意识障碍患者60例，为对照组。统计两组患者干预前后的祌经功能缺损(NIHSS)评分、Barthel(BI)指数和格拉斯哥-庇斯布赫昏迷分度表(G-Pcs)评分，以及生活质量(SF-36量表)评分。结果：两组患者干预前NIHSS评分、BI指数、G-Pcs评分及SF-36生活质量量表各项得分相比，差异不具有统计学意义(P>0.05)；干预后，干预组NIHSS评分、BI指数、G-Pcs评分分别为(11.4±4.2)分、(88.0±7.9)分和(24.3±4.7)分,对照组为(17.5±5.6)分、(74.3±7.2)分和(16.2±2.8)分，差异具有统计学意义(P<0.05)；干预后，干预组SF-36生活质量量表各项得分明显大于对照组(P<0.05)。结论：舒适护理模式的实施有利于脑出血意识障碍患者神经功能和生活质量的改善，值得进一步推广。【关键词】舒适护理；脑出血；祌经功能；生活质量【中图分类号】R743.74【文献标识码】A【文章编号】2095-1752(2016)29-0032-03EvaluatetheeffectivenessofComfortablenursingmodelforpatientswithCerebralhemorrhageconsciousnessFanXiaohua.TheAffiliatedJiangyinHospitalofSoutheastUniversity,JiangsuProvince,Wuxi214400,China【Abstract】ObjectiveToexploretheeffectivenessofcomfortablenursingmodelforNeurologicalfunctionandqualityoflifeimprovementinpatientswithcerebralhemorrhageconsciousness.MethodsComfortablenursingmodelwereimplementedinhospitalfromFebruary2014February2015on60caseswithcerebralhemorrhageconsciousness,astheobservationgroup.60caseswithcerebralhemorrhageconsciousnessinourhospitalemergencydepartmentduringFebruary2013-2014Januaryinpatientswerealsoselected,thepatientsreceivedonlyroutinenursing,asthecontrolgroup.Theemergencytime,hospitalizationtimeandemergencyexpensesaswellasNeurologicaldeficit(NIHSS)score,Barthel(BI)indexandGlasgow-BaileySibuHecomaindexingtable(Ges)scoreaswellasSF-36scalebeforeandafternursingwererecordedandcomparedinthetwogroups.ResultsThedifferenceofNIHSSscore,BIindex,G-PcsscoreandSF-36scoresintwogroupsbeforeinterventionwasnotstatisticallysignificant(P>0.05);aftertheintervention,NIHSSscore,BIindex,G-Pcsscorewas(11.4±4.2)points,(88.0±7.9)pointsand(24.3±4.7)pointsintheinterventiongroup,whilewas(17.5±5.6)points,(74.3±7.2)pointsand(16.2±2.8)pointsinthecontrolgroup,thedifferencewasstatisticallysignificant(P<0.05);aftertheintervention,SF-36qualityoflifequestionnairescoresintheinterventiongroupweresignificantlyhigherthanthecontrolgroup(P<0.05).ConclusionImplementationofcomfortablenursingmodelcanimproveneurologicalfunctionandqualityoflifeinpatientswithcerebralhemorrhageconsciousness,thusworthyoffurtherpromotion.【Keywords】Comfortablenursing;Cerebralhemorrhage;Neurologicalfunction;Qualityoflife脑出血(Intracerebralhemorrhage,ICH)又称急性脑血管事件，是由于急性脑血管循环障碍所致的局限或全面性脑功能缺损综合症。具奋发病率高、死亡率高、致残率高的特点，是当代社会严重威胁人类健康的三大疾病之一。苏病情复杂多变，症状纷繁多样,II往往遗留冇半身不遂、言语不利和口眼歪斜等功能障碍[1-2],严重威胁人类生命健康和生活质量，且近年来呈现不断增长的趋势。脑出血意识障碍是指脑出血患者出现中枢神经系统对内外环境刺激做出应答反应能力减退或消失的现象，意识障碍的发生对患者身心造成了极人地损害，增加了脑出血的致残率和生命威胁。因此，如何正确...
