|
|
|
| Application effect of multi-sensory wake-up nursing mode in patients with coma after hypertensive intracerebral hemorrhage |
| CHEN Xiu-zhen |
| ICU, Dongguan Dalingshan Hospital, Guangdong Province, Dongguan 523820, China |
|
|
|
|
Abstract Objective To explore the effect of multi-sensory wake-up nursing mode in patients with coma after hypertensive intracerebral hemorrhage (HICH). Methods Sixty-two patients with coma after HICH admitted to our hospital from January 2018 to February 2019 were selected and divided into two groups according to the random number method, 31 cases in each group.The control group was given routine nursing mode, and the study group was given multiple-sensory wake-up nursing mode.The wakefulness of the two groups, the Glasgow coma scale (GCS), the dysfunction scale (DFS) scores, acetylcholine (Ach), norepinephrine (NE), dopamine (DA), and complications were compared. Results The recovery of the study group was better than that of the control group, and the difference was statistically significant (P＜0.05).The GCS score, Ach, NE, and DA levels in the study group were higher than those in the control group, and the DFS score was lower than that in the control group, the differences were statistically significant (P＜0.05).The incidence rates of constipations, such as limb paralysis, pressure sore, and lower extremity venous thrombosis were lower in the study group than those in the control group, and the differences were statistically significant (P＜0.05). Conclusion Patients with coma after HICH use multi-sensory wake-up nursing mode can regulate the release of related neurotransmitters, accelerate patient recovery, and reduce the incidence of complications.
|
|
|
|
|
|
| [1] |
张金利，路楷.多感官促醒护理模式应用于高血压性脑出血术后昏迷病人的临床实践[J].护理研究，2018，32（3）：430-432.
|
| [2] |
贾元臣.多感官促醒干预对高血压性脑出血患者脑功能及觉醒意识的影响[J].护理实践与研究，2017，14（24）：231-233.
|
| [3] |
徐秀敏，刘双凤，王水，等.中医特色促醒疗法与护理对高血压脑出血开颅术后昏迷患者的促醒作用[J].新中医，2018，50（1）：126-130.
|
| [4] |
刘洁，李平雨，高喜春.重型颅脑损伤迁延性昏迷病人的人性化护理[J].现代医院，2007，7（7）：81-83.
|
| [5] |
李洪艳，黄长静，韩梅，等.昏迷促醒治疗仪对脑出血昏迷病人促醒作用探讨[J].护理研究，2018，32（6）：95-96.
|
| [6] |
杜桦，范丽丹，樊欣，等.感知行为干预对高血压脑出血后昏迷促醒效果的临床观察[J].护士进修杂志，2018，33（20）：84-86.
|
| [7] |
洪英.高血压脑出血术后持续昏迷患者的护理体会[J].临床医药文献电子杂志，2017，10（29）：110.
|
| [8] |
谢艳丽.呼唤式护理在重型颅脑损伤昏迷患者促醒中应用[J].临床医药文献电子杂志，2018，5（68）：60-61.
|
| [9] |
曾雯，郭永洪，伍国锋，等.早期感觉促醒干预对急性缺血性脑卒中昏迷的效果[J].贵州医科大学学报，2018，43（11）：127-130.
|
| [10] |
仲悦萍，张云，陈晓艳，等.护士和家属实施感觉刺激对重型创伤性颅脑损伤昏迷患者促醒作用的比较[J].中华现代护理杂志，2018，24（31）：3793-3797.
|
| [11] |
陈翠瑜.促醒干预改善脑外伤后昏迷患者清醒时间及对肺部感染的预防效果[J].中国卫生工程学，2017，16（2）：130-131.
|
| [12] |
张帆，吴苗苗，黄玉如.“唤醒服务链”对颅脑损伤昏迷患者的促醒效果及家属的知晓率调查[J].中国药物与临床，2018，18（8）：36-38.
|
| [13] |
丁锦荣，吴德模，管义祥，等.正中神经电刺激对急性颅脑损伤昏迷患者脑血流及促醒效果的影响[J].创伤外科杂志，2018，23（12）：884-886.
|
| [14] |
赵斌，窦丽娜，肖洪波，等.电针联合高压氧对脑损伤后昏迷患者促醒作用的临床研究[J].当代医学，2017，23（36）：117.
|
| [15] |
兰莉萍，廖姝，曾雯，等.正中神经电刺激对颅内动脉瘤术后昏迷患者促醒效果分析[J].护士进修杂志，2018，33（20）：14-16.
|
|
|
|
