Study on the application effect of predictive nursing in perioperative nursingof hypertensive cerebral hemorrhage
预见性护理在高血压脑出血围手术期护理中的应用效果研究

摘要

目的 浅析高血压脑出血患者围手术护理过程中加入预见性护理对于协助提升手术效果的优势。方法研究对象为70例接受手术治疗的高血压脑出血患者，样本收集时间为2022年8月至2023年7月，随机将以上患者分为对照组及观察组。在围手术期间对照组接受一般性的护理，观察组则加入预见性护理，对比两组手术前后的血压、不同时间神经功能缺损状况以及术后并发症发生率。结果 术后观察组患者的收缩压以及舒张压水平均优于对照组；观察组术后不同时间神经功能缺损评分均低于对照组；观察组的术后并发症发生率为5.71%，明显低于对照组的20.00%。结论 高血压脑出血情况危急情况多变，采取手术治疗时全程给予预见性护理能够及时发现危险因素并采取相应措施，对于保证手术效果具有重要意义。

Abstract

Objective To analyze the advantages of incorporating predictive care in the perioperative nursing process of hypertensive intracerebral hemorrhage patients to assist in improving surgical outcomes.
Methods The study subjects were 70 patients with hypertensive intracerebral hemorrhage who underwent surgical treatment. The sample was collected from August 2022 to July 2023, and the above patients were randomly divided into control and observation groups. During the perioperative period, the control group received general care, while the observation group received predictive care. Blood pressure before and after surgery, neurological deficits at different times, and postoperative complications were compared between the two groups.
Results The postoperative systolic and diastolic blood pressure of the observation group patients were better than those of the control group on average; The neurological deficit scores of the observation group were lower than those of the control group at different times after surgery; The incidence of postoperative complications in the observation group was 5.71%, significantly lower than the 20.00% in the control group.
Conclusion   The critical situation of hypertensive intracerebral hemorrhage is variable, and providing predictive care throughout the surgical treatment can timely identify risk factors and take corresponding measures, which is of great significance for ensuring surgical effectiveness.