基于危害分析及关键控制点原则的集束化护理在脑出血患者中的应用

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Application of Cluster Nursing Based on Hazard Analysis and Critical Control Point Principle in Patients with Cerebral Hemorrhage/HUANG Shuangling， HE Yuanyuan. //Medical Innovation of China， 2025，22（10）： 122-126

[Abstract]Objective： To analyze the application of cluster nursing based on hazard analysis and critical control point （HACCP）principle in patients with cerebral hemorrhage.Method： A total of 90 patients with cerebral hemorrhage admitted to Jiangxi Cancer Hospitalfrom April 2022 to January 2024 were selected and divided into two groups with 45 cases each by random number table method.The control groupreceived basicnursing， and the observation groupreceived cluster nursing based on HACCP principle on the basis of the control group.The blood pressurelevel，FuglMeyer assessment （FMA）score，national institutes of health strokescale （NIHSS）score before and after nursing and theincidence ofcomplications were compared between the two groups. Result：After nursing，

① 江西省肿瘤医院神经外科江西南昌330029 通信作者：黄双灵

systolic blood pressure，diastolic blood pressureand NIHSS score inobservation groupwere lowerthan those incontrol group，and FMA score was higher than that in control group，thedifferences were statistically significant （P<0.05）. The incidence of complications in the observation groupwas lower thanthat inthe control group，the difference was statistically significant （ P<0.05） . Conclusion： The application of cluster nursing based on HACCP principle in patientswith cerebral hemorrhage canefectively promote the improvement of patients'blood pressurelevel，improve their motorfunction，reduce the symptoms ofneurologicalimpairment， andfurther reduce the risk ofcomplications.

[Key words] Hazard analysis Critical control points Cluster nursing Cerebral hemorrhage Blood pressure Motor function Neurological deficits

First-author's address： Department of Neurosurgery， Jiangxi Cancer Hospital， Nanchang 33oo29， China doi ： 10.3969/j.issn.1674-4985.2025.10.029

脑出血是一种常见且严重的急性脑血管疾病，其高发病率和高致残率给患者及其家庭带来了巨大的心理和经济负担。（剩余6663字）