To analyze the high risk factors and nursing countermeasures after cerebral aneurysm rupture
分析脑动脉瘤破裂后的高危因素及护理对策

摘要

目的 分析脑动脉瘤破裂后再出血的高危因素，并提出相应的护理对策。方法 选择本院神经外科收治的脑动脉瘤破裂患者进行研究，共计80例，时间为2021.11~2022.11。通过病历资料分析、体征监测等方式分析患者破裂后再出血的危险因素，结合院内护理经验制定护理对策。结果 再出血患者心理情绪得分高于对照组，高血压率、癫痫发作率、用力排便率、剧烈咳嗽率、过早离床活动、多发率均高于对照组，差异显著（P<0.05）；且经由Logistic回归模型分析显示，高血压、癫痫、负性情绪、剧烈动作是引起脑动脉瘤破裂再出血的独立因素。基于因素分析，本院认为可从心理护理、血压控制、预防便秘、气道管理等措施进行干预。结论 引起脑动脉瘤破裂后再出血的因素众多，血压、情绪、动作等均可致病，可基于患者状态实施针对性的护理干预，预防再出血。

Abstract

Objective To analyze the high risk factors of rebleeding after ruptured cerebral aneurysms and propose corresponding nursing countermeasures.
Methods A total of 80 patients with ruptured cerebral aneurysms admitted to the neurosurgery department of our hospital were studied. The time was from November 2021 to November 2022. The risk factors of rebleeding after rupture were analyzed by means of medical record data analysis and physical sign monitoring, and nursing countermeasures were formulated based on hospital nursing experience.
Results The scores of psychological emotion in patients with rebleeding were higher than those in the control group, and the rates of hypertension, seizures, forced defecation, severe cough, premature out of bed activities, and multiple occurrences were significantly higher than those in the control group (P<0.05); Logistic regression model analysis showed that hypertension, epilepsy, negative emotions and violent movements were independent factors that caused cerebral aneurysm rupture and rebleeding. Based on factor analysis, the hospital believes that psychological nursing, blood pressure control, constipation prevention, airway management and other measures can be taken for intervention.
Conclusion   There are many factors that cause rebleeding after rupture of cerebral aneurysm, such as blood pressure, emotion, action, etc., which can cause the disease. Targeted nursing intervention can be implemented based on the patient's status to prevent rebleeding.