护理专案干预在脑卒中患者低分子肝素钙腹部注射中的应用

摘要/Abstract

摘要： 目的探讨护理专案在脑卒中患者低分子肝素钙腹部注射中的应用效果。方法选择2023年2月—2023年4月河北省青县人民医院收治的接受低分子肝素钙腹部注射的60例脑卒中患者作为对照组,进行常规护理干预;选择河北省青县人民医院2023年6月—2023年8月收治的接受低分子肝素钙腹部注射的56例脑卒中患者作为观察组,开展护理专案干预。比较两组患者在各自护理干预下,注射后皮下出血情况、疼痛程度、积极心态以及满意度差异。结果观察组患者注射低分子肝素钙后皮下出血率低于对照组,差异具有统计学意义（P<0.05）;观察组患者注射1 h以及24 h后疼痛程度评估量表（PANAS量表）评分均低于对照组,差异具有统计学意义（P<0.05）,护理前,两组患者的正性情绪指数以及负性情绪指数比较,差异无统计学意义（P>0.05）,护理后,观察组患者正性情绪指数评分高于对照组,负性情绪指数低于对照组,差异具有统计学意义（P<0.05）;观察组患者对护理服务内容总满意度优于对照组,差异具有统计学意义（P<0.05）。结论护理专案能够有效降低脑卒中患者的腹部注射低分子肝素钙后皮下出血的发生率,改善疼痛程度并提升患者的正向积极情绪,提高患者对护理工作的满意度,应用效果理想,可考虑进一步应用。

关键词: 护理专案, 脑卒中, 低分子肝素钙, 皮下出血

Abstract: Objective To explore the application effect of nursing projects in the abdominal injection of low molecular weight heparin calcium in stroke patients. Methods Select 60 stroke patients who received abdominal injection of low molecular weight heparin calcium and were admitted to Qingxian People's Hospital in Hebei Province from February 2023 to April 2023 as the control group for routine nursing intervention; 56 stroke patients who received abdominal injection of low molecular weight heparin calcium and were admitted to Qingxian People's Hospital in Hebei Province from June 2023 to August 2023 were selected as the observation group for nursing intervention. Compare the differences in subcutaneous bleeding, pain level, positive attitude, and satisfaction between two groups of patients after injection under their respective nursing interventions. Results The subcutaneous bleeding rate of patients in the observation group after injection of low molecular weight heparin calcium was lower than that of the control group, and the difference was statistically significant (P<0.05); The Pain Assessment Scale (PANAS) scores of the observation group patients were lower than those of the control group at 1 and 24 hours after injection, and the difference was statistically significant (P<0.05). Before nursing, there was no statistically significant difference in the positive and negative emotion index between the two groups of patients (P>0.05). After nursing, the positive emotion index scores of the observation group patients were significantly higher than those of the control group, while the negative emotion index scores were lower than those of the control group, and the differences were statistically significant (P<0.05); The overall satisfaction of the observation group patients with nursing services was better than that of the control group, and the differences were statistically significant (P<0.05). Conclusion Nursing programs can effectively reduce the incidence of subcutaneous bleeding in stroke patients after abdominal injection of low molecular weight heparin calcium, improve pain levels, enhance positive emotions, and improve patient satisfaction with nursing work. The application effect is ideal and further application can be considered.

Key words: nursing project, stroke, low molecular weight heparin calcium, subcutaneous hemorrhage

中图分类号:

R473.74

朱洪杰, 徐艳霞. 护理专案干预在脑卒中患者低分子肝素钙腹部注射中的应用[J]. 中华养生保健, 2025, 43(8): 123-127.

ZHU Hong-jie, XU Yan-xia. Application of Nursing Intervention in Abdominal Injection of Low Molecular Weight Heparin Calcium in Stroke Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(8): 123-127.

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