Application of high-quality nursing intervention in patients with severe cerebral hemorrhage
优质护理干预在重症脑出血患者中的应用研究

摘要

目的 探究优质护理干预对重症脑出血患者神经功能、生活能力、并发症发生率及护理满意度的影响，为优化护理方案、改善预后提供依据。方法 选取2024年5月-2025年4月我院100例30-85岁重症脑出血患者，随机分两组各50例。对照组行常规护理，实验组在常规基础上开展全程优质护理，干预4周。对比两组干预前后神经功能、生活能力评分、并发症发生率、住院时长及护理满意度，行t检验和χ2检验，P<0.05为差异有统计学意义。结果 干预后，两组国立卫生研究院卒中量表（NIHSS）评分降低、日常生活活动能力量表（ADL）评分升高，且实验组NIHSS低于对照组、ADL高于对照组；实验组并发症发生率低于对照组，住院时间短，护理满意度高于对照组，差异均有统计学意义（P<0.05）。结论 优质护理干预可改善神经功能、提升生活能力、降低并发症、缩短住院周期、提高满意度，值得推广。

Abstract

Objective To investigate the effects of high-quality nursing intervention on neurological function, activities of daily living, complication incidence, and nursing satisfaction in patients with severe intracerebral hemorrhage (ICH), and to provide evidence for optimizing nursing protocols and improving prognosis.
Methods A total of 100 patients with severe ICH aged 30-85 years from May 2024 to April 2025 were randomly divided into two groups of 50 cases each. The control group received conventional nursing care, while the experimental group received comprehensive high-quality nursing intervention for 4 weeks. The neurological function, ADL scores, complication incidence, hospitalization duration, and nursing satisfaction were compared before and after intervention in both groups. t-tests and χ2 tests were performed, with P<0.05 indicating statistically significant differences.
Results After intervention, the National Institutes of Health Stroke Scale (NIHSS) scores in both groups decreased, while the Activities of Daily Living (ADL) scores increased. The NIHSS score in the experimental group was lower than that in the control group, and the ADL score was higher. The complication incidence in the experimental group was lower than that in the control group. The hospitalization duration of the experimental group was shorter, and the nursing satisfaction rate was higher than that of the control group, with all differences being statistically significant (P<0.05).
Conclusion   High-quality nursing intervention can improve neurological function, enhance ADL, reduce complications, shorten hospitalization duration, and increase satisfaction, making it worthy of promotion.