健康宣教及心理护理在行微创锥颅血肿清除术脑出血患者中的应用效果

刘晓妮，刘阿妮，魏喜敏

（1 .陕西省西安市户县中医医院，陕西 西安，710300 ；2 .陕西省西安市康宁精神病医院，陕西 西安，710114）

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摘要：

目的 分析健康宣教及心理护理在行微创锥颅血肿清除术脑出血患者中的应用效果。方法 选择本院2013年7月至2016年7月收治的98例脑出血患者为研究对象，均行微创锥颅血肿清除术治疗。依据护理方式分为A组和B组，每组49例。A组患者给予健康宣教及心理护理，B组患者给予常规护理。对比两组患者护理前、后的神经功能指标评分、临床指标及并发症发生情况。结果 护理前，两组的NDS和NIHSS评分差异无统计学意义（P>0.05）；护理后，A组的NDS和NIHSS评分低于B组（P<0.05）。A组的住院时间、住院费用等临床指标显著优于B组（P<0.05）。A组的并发症发生率为14.29%，B 组为 28.57%，组间比较，差异有统计学意义（P<0.05）。结论 健康宣教及心理护理可以提高行微创锥颅血肿清除术脑出血患者的神经功能水平，缩短其住院时间，减轻其家庭负担，并控制其并发症的发生率，值得推广。

关键词：健康宣教；心理护理；微创锥颅血肿清除术；脑出血

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)11-0165-02

Application effect of health education and psychological nursing on patients with cerebral hemorrhage

after minimally invasive surgery
LIU Xiao-ni 1, LIU A-ni 2, WEI Xi-min 1
(1. Traditional Chinese Medicine Hospital of Hu County, Xi'an 710300; 2. Kangning Psychiatric Hospital of Xi'an, Xi'an 710114, China)

ABSTARCT: Objective To discuss the application effect of health education and psychological nursing on patients with cerebral hemorrhage after minimally invasive surgery. Methods Ninety -eight cases of patients with cerebral hemorrhage admitted in our hospital from July 2013 to July 2016 were selected and were treated with minimally invasive surgery. The patients were divided into group A and group B according to different nursing methods, with 49 cases in each group. Group A was given the health education and psychological nursing, group B was given the routine nursing care, then the neurological function scores before and after nursing, clinical indicators and complications incidence were compared between the two groups. Results Before nursing, the differences between neurological impairment scale (NDS) scores and stroke scale (NIHSS) scores in the two groups had no statistical significance (P>0.05); after nursing, NDS scores and NIHSS scores of the group A were significantly lower than those of the group B (P <0.05). The hospitalization time and hospitalization costs of group A were significantly lower than those of the group B (P<0.05). The complication incidence rate of the group A was 14.29%, the group B was 28.57%, the difference was statistically significant (P<0.05). Conclusion
Health education and psychological nursing can improve function level of patients with cerebral hemorrhage after minimally invasive surgery, shorten the hospitalization time, reduce the burden of their families, and control the incidence of complications, which is worthy of promotion.
KEYWORDS: health education; psychological nursing; minimally invasive surgery; cerebral hemorrhage

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