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目的探讨脑出血患者实施综合性护理干预的临床意义,分析其对不良情绪、遵医行为及并发症的影响。方法将我院于2013年1月至2015年5月期间收治的152例脑出血患者,随机分成研究组和对照组,每组76例。对照组采用常规护理干预,研究组采用综合性护理干预。使用汉密尔顿焦虑量表(HAMA)、汉米尔顿抑郁量表(HAMD)评估患者护理前后的心理状况,同时比较患者的遵医行为及并发症情况。结果实施护理前,两组患者的HAMA、HAMD评分无明显差异(P>0.05),通过干预后,研究组的HAMA、HAMD评分明显低于对照组(P<0.01)。研究组的遵医行为显著优于对照组(P<0.01),并发症发生率明显低于对照组(P<0.05)。结论综合性护理干预可以更有效缓解脑出血患者的不良情绪,确保患者遵医治疗,有效遏制并发症的发生。
Objective To investigate the clinical significance of comprehensive nursing intervention in patients with intracerebral hemorrhage and analyze its influence on adverse emotions, compliance behavior and complications. Methods 152 patients with cerebral hemorrhage admitted from January 2013 to May 2015 in our hospital were randomly divided into study group and control group with 76 cases in each group. The control group using routine nursing intervention, the study group using a comprehensive nursing intervention. HAMA and HAMD were used to evaluate the psychological status of patients before and after nursing care. At the same time, comparisons were made between patients’ compliance and complications. Results Before the nursing, the HAMA and HAMD scores of the two groups had no significant difference (P> 0.05). After intervention, HAMA and HAMD scores of the study group were significantly lower than those of the control group (P <0.01). The study group’s compliance behavior was significantly better than the control group (P <0.01), the complication rate was significantly lower than the control group (P <0.05). Conclusion Comprehensive nursing intervention can effectively alleviate the adverse emotions of patients with cerebral hemorrhage, ensure that patients follow the doctor’s treatment, effectively curb the occurrence of complications.