Effect of emergency nursing intervention on the prognosis of patients with hypertensive cerebral hemorrhage

Abstract

Objective To investigate the effect of emergency nursing intervention on the prognosis of patients with hypertensive cerebral hemorrhage (intracerebral bemorrhage Hypertensive, HICH). Methods 76 cases of HICH patients were selected from February 2014 to February 2015, Jiaozhou City People’s hospital treatment as the research object, randomly divided into observation group and control group two groups, 38 cases in each group, the control group adopted prehospital care, clinical observation, nursing, medication nursing, diet guidance and routine nursing, observation group take emergency care, including emergency care, monitoring of vital signs, nursing care, clinical observation and nursing of intracranial hypertension, necessary preoperative preparation and postoperative nursing of the clinical basic nursing, rehabilitation nursing and psychological nursing effects were compared between the two groups of nursing intervention on patients with NIHSS, FMA, Barthel, SF-36, SDS, SAS index the score. Results in the observation group, 37 cases were treated successfully, the success rate of treatment was 97.37%, the control group 32 cases were successfully treated successfully, the success rate of treatment was 84.21%, the success rate of observation group was significantly higher than that of control group (P<0.05). The observation group NIHSS score was 11.21+ 3.08, 19.23+ 3.26 in the control group, the observation group Barthel index was 78.92+ 8.65, 53.35+ 8.04 in the control group, the observation group FMA score 38.31+ 3.62, 23.68+ 3.46 in the control group, the observation group SAS score 47.41+ 5.42, 67.21+ 6.47 in the control group, the observation group SDS score was 45.09+ 4.65. The control group is 59.83+ 4.74, the patients in the observation group NIHSS (nerve function defect score, Barthel index), FMA (functional) scores were better than the control group (P<0.05), SDS (self rating Depression Scale (SAS), self rating Anxiety Scale) scores were lower than the control group (P<0.05). In addition, the observation group SF-36 quality of life scale of each dimension score higher than the control group (P<0.05). Conclusions HICH patients with emergency care, can effectively improve the prognosis of patients, reduce the psychological negative emotions, improve the quality of life of patients, the effect is worthy of recognition. Key words: emergency nursing; hypertension cerebral hemorrhage; prognosis