分級護(hù)理管理對腦出血患者睡眠質(zhì)量的影響研究

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Effects of Graded Nursing Management on Sleep Quality of Patients with Cerebral Hemorrhage

LIN Lijuan

（Department ofNeurosurgery，Jian'ou City Hospital，Jian'ou 3531OO，China）

AbstractObjective：To exploretheeffectsof gradednursing management on sleepqualityof patientswith cerebral hemorhage.Methods：Atotalof96patients withcerebralhemorhageadmitedtoJian'ou CityHosipitalfromJanuaryO21toDecember 023 wereenrolled and dividedinto thecontrolgroup（48cases，routinenursing）and the experimental group（48cases， gradednursingmanagement）according toandomnumbertable method.Thesleepquality，negativeemotio，neurologicalfunction andsatisfaction wereobservedResults：Thescoresof sleepquality，sleepdisorder，sleeptime，sleepeficiency，sleeptimeand daytime dysfunction of experimental group after nursing were lower than those of control group with P<0.05 . After nursing，HAMA，SDS and NIHSS scores in experimental group were better than those of the control group（ P<0.05 ）. After nursing，38 cases were satisfied in the reference group（ 79.17% ） and 45 cases in the experimental group（93.75%）. Satisfaction of experimental group was higher than that of conteol group with P<0.05 . Conclusion ： Applying graded nursing management to patients with cerebral hemorrhage can improve their sleep quality and satisfaction.

KeywordsHierarchical nursing management； Cerebral hemorrhage； Sleep中圖分類號：R338.63;R743.3 文獻(xiàn)標(biāo)識碼：A doi：10.3969/j.issn. 2095 -7130.2025.02.041

腦出血指的是非創(chuàng)傷性腦實(shí)質(zhì)內(nèi)血管破裂造成的出血，它會導(dǎo)致整個腦卒中的 20%～30% ，在急性期，患者的死亡率為 30%～40%[1 。（剩余5013字）