Effect evaluation of systematic nursing service for patients with cerebral hemorrhage in intensive care unit
重症监护室脑出血患者应用系统性护理服务的效果评估

摘要

目的 分析对重症监护室（ICU）脑出血患者开展系统性护理服务的效果。方法 抽取2021年1月-2022年1月期间我院ICU脑出血患者96例，以随机数字表法将此96例患者平均分成对照组（n=48，接受常规ICU护理服务）和研究组（n=48，接受系统性护理服务），对比两组患者卒中量表（NIHSS）评分、运动功能量表（FMA）评分、肺感染及病死率。结果 干预前两组患者NIHSS量表以及FMA量表评分结果对比均未见明显差异（P＞0.05），干预后对NIHSS量表评分结果进行比较可见研究组患者更低，对FMA量表评分结果进行比较可见研究组患者更高，且该组患者肺感染率、病死率均比对照组患者低，（P＜0.05）。结论 在对ICU脑出血患者开展护理时应用系统性护理服务可显著改善患者脑神经功能以及运动功能，有利于降低患者肺部感染的发生风险，有利于降低脑出血患者病死率，具有较高应用价值。

Abstract

Objective to analyze the effect of systematic nursing care for patients with cerebral hemorrhage in intensive care unit (ICU).
Methods 96 patients with intracerebral hemorrhage in ICU of our hospital from January 2021 to January 2022 were randomly divided into the control group (n = 48, receiving routine ICU nursing service) and the study group (n = 48, receiving systematic nursing service). The scores of Stroke Scale (NIHSS), motor function scale (FMA), pulmonary infection and mortality of the two groups were compared.
Results there was no significant difference in NIHSS scale and FMA scale scores between the two groups before the intervention (P>0.05). After the intervention, the NIHSS scale scores were lower in the study group, and the FMA scale scores were higher in the study group. Moreover, the lung infection rate and mortality rate of the patients in this group were lower than those in the control group (P < 0.05).
Conclusion   the application of systematic nursing services in the care of patients with cerebral hemorrhage in ICU can significantly improve the cerebral nerve function and motor function of patients, help reduce the risk of pulmonary infection, and reduce the mortality of patients with cerebral hemorrhage. It has high application value.