Effect of evidence-based nursing combined with cluster nursing on perioperative patients with cerebral hemorrhage
循证护理联合集束化护理对脑出血围手术期患者的影响

摘要

目的 针对联合干预模式（循证护理+集束化护理）对脑出血围手术期患者的影响意义展开分析探讨，旨在为临床研究提供理论与实践参照。方法 筛选2023年9月至2024年9月我院收治的80脑出血患者为研究对象，采用系统抽样法进行组别划分，每组40例，参照组行常规护理，研究组开展循证护理+集束化护理，以下肢深静脉血栓发生率、心理状态、凝血指标、护理满意度为观察指标，评价联合干预模式的优势所在。结果 干预后，研究组护理满意度92.50％，显著高于参照组72.50％，差异有统计学意义（P＜0.05）。其余各项指标也呈现出显著优势，两组差异明显（P＜0.05）。结论 在脑出血围手术期临床护理方案的横向选择中，建议优先采用联合干预模式，不仅能切实缓解负性情绪，有效降低下肢深静脉血栓发生率，改善凝血功能，同时还可极大提高患者对护理工作的满意程度，值得推广。

Abstract

Objective This study analyzes the impact of the combined intervention model (evidence-based nursing + cluster nursing) on perioperative patients with cerebral hemorrhage, aiming to provide theoretical and practical references for clinical research.
Methods A total of 80 cerebral hemorrhage patients admitted to our hospital from September 2023 to September 2024 were selected as research subjects. The patients were divided into two groups using systematic sampling method, with 40 cases in each group. The control group received routine nursing care, while the intervention group received evidence-based nursing combined with cluster nursing. The following indicators were observed: incidence of lower extremity deep vein thrombosis (DVT), psychological status, coagulation indicators, and nursing satisfaction, to evaluate the advantages of the combined intervention model.
Results After intervention, the nursing satisfaction rate in the intervention group reached 92.50%, significantly higher than the control group's 72.50% (P<0.05). Other indicators also showed significant advantages with statistically significant differences between the two groups (P<0.05).
Conclusion   In the clinical nursing plan selection for perioperative cerebral hemorrhage, the combined intervention model is recommended as a priority. This approach not only effectively alleviates negative emotions and reduces DVT incidence but also improves coagulation function and significantly enhances patient satisfaction with nursing care, making it worthy of promotion.