标题：结合需要层次理论的护理干预在高血压脑出血患者中的应用价值

      作者：崔翱，林容旭，张宝月，罗针
    (四川大学华西医院神经综合科，四川 成都 610041)

      卷次： 2016年27卷3期

      【摘要】 目的 分析结合需要层次理论的护理干预在高血压脑出血患者中的应用价值。方法 将 2011年
12月至 2014年 12月在四川大学华西医院神经内科接受治疗的高血压脑出血患者 118例纳入研究，按照随机数
表法分为观察组和对照组，每组各 59例。入院后对照组患者接受脑出血患者常规护理，观察组患者接受基于需
要层次理论的护理干预，比较两组患者的恢复相关指标、神经功能及日常生活能力、心理状态及生存质量评分等
差异。结果 ①观察组患者接受护理干预后的基础护理质量评分为(96.17±3.28)分，高于对照组的(78.55±5.82)分，
患者意识恢复时间、肢体功能恢复时间、总住院时间分别为(5.62±0.92) d、(8.72±2.83) d、(13.27±3.78) d，均短于对照
组的(9.81±2.16) d、(14.68±3.07) d、(25.16±5.73) d，差异均有统计学意义(P<0.05)；②观察组患者接受护理干预后的
美国国立卫生院卒中量表（NIHSS）评分和Barthel指数(BI)分别为(59.72±7.11)分、(63.29±7.93)分，均高于对照组的
(42.38±5.67)分、(41.26±5.45)分，差异均有统计学意义(P<0.05)；3)观察组患者接受护理干预后的焦虑自评表(SAS)
评分和汉密顿抑郁量表(HAMD)评分分别为(17.39±3.11)分、(19.53±3.26)分，均低于对照组的(28.54±4.57)分、
(31.42±4.78)分，生存质量量表(SF-36)评分为(83.11±9.63)分，高于对照组的(60.93±7.64)分，差异均有统计学意义
(P<0.05)。结论 结合需要层次理论的护理干预可以促进高血压脑出血患者的康复，优化患者神经功能及心理状
态，最终提升生活能力及生存质量，具有积极的临床意义。

      【关键词】 高血压脑出血；需要层次理论；护理干预；生活质量

      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2016）03—0506—04


Value of nursing intervention based on Maslow's Hierarchy of Needs in patients with hypertensive cerebral
hemorrhage.
CUI Ao, LIN Rong-xu, ZHANG Bao-yue, LUO Zhen. Department of Nerve Comprehensive, West China
Hospital, Sichuan University, Chengdu 610041, Sichuan, CHINA

【Abstract】 Objective To analyze the value of nursing intervention based on Maslow's Hierarchy of Needs in pa-
tients with hypertensive cerebral hemorrhage. Methods A total of 118 patients of hypertensive cerebral hemorrhage treat-
ed in West China Hospital, Sichuan University from December 2011 to December 2014 were chosen as study subjects,
which were divided into observation group and control group according to random number table, each with 59 patients. Af-
ter admission, the patients in the control group received routine nursing care, while those in the observation group received
nursing intervention based on Maslow's Hierarchy of Needs. The recovery-related indicators, nerve function and activities
of daily living, mental status and quality of life were compared between the two groups. Results (1) The score of basic
nursing care quality in the observation group was (96.17±3.28), significantly higher than (78.55±5.82) in the control
group. The time for consciousness recovery, limb function recovery, hospital stay in the observation group were shorter
than those in the control group [(5.62±0.92) d vs (9.81±2.16) d, (8.72±2.83) d vs (14.68±3.07) d, (13.27±3.78) d vs
(25.16±5.73) d], with statistically significant difference (P<0.05). (2) After nursing treatment, the National Institutes of
Health Stroke Scale (NIHSS) score, Barthel Index (BI) score in the observation group were higher than those in the con-
trol group [(59.72 ± 7.11) vs (42.38 ± 5.67), (63.29 ± 7.93) vs (41.26 ± 5.45)], with statistically significant difference (P<
0.05). (3) After nursing treatment, the Self-Rating Anxiety Scale (SAS) score, Hamilton Depression Scale (HAMD)
score in the observation group were significantly lower than those in the control group [(17.39±3.11) vs (28.54±4.57),
(19.53 ± 3.26) vs (31.42 ± 4.78)], and the Short Form 36 health survey questionnaire (SF-36) score in the observation
group was significantly higher than that in the control group [(83.11±9.63) vs (60.93±7.64)]. The differences were all sta-
tistically significant (P<0.05). Conclusion Nursing intervention based on Maslow's Hierarchy of Needs can contribute
to the rehabilitation of patients with hypertensive intracerebral hemorrhage, optimize neurological and psychological
state, and ultimately enhance the viability and quality of life, which has positive significance.
【Keywords】 Hypertensive cerebral hemorrhage; Maslow's Hierarchy of Needs; Nursing intervention; Quality of life
·护 理·
6350.2016.03.061