精准护理对急性脑梗死患者神经功能及预后的影响
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摘要
目的探讨精准护理对急性脑梗死患者神经功能及预后的影响。方法选取本院2017年1—12月收治的急性脑梗死患者50例为对照组,采用常规护理。选取本院2018年1—12月收治的急性脑梗死患者50例为观察组,实施以患者需求为导向的精准护理。比较2组的干预后的疾病认知情况、神经功能以及生活能力的变化。结果观察组在病情知晓率、健康知识掌握、早期康复训练认知方面均好于对照组(P <0. 05);观察组干预3个月后的美国国立卫生研究院卒中量表(NHISS)评分低于对照组,日常生活能力量表(ADL)评分高于对照组,预后好于对照组,差异有统计学意义(P <0. 05)。结论精准护理能够满足急性脑梗死患者的护理需求,提高对康复训练的认知,促进神经功能、生活能力恢复。
Objective To explore the effect of precise nursing on neurological function and prognosis of patients with acute cerebral infarction. Methods Totally 50 patients with acute cerebral infarction from January to December 2017 were selected as the control group,and were treated with routine nursing. Another 50 patients with acute cerebral infarction from January to December 2018 were selected as the observation group,and were treated with the patients' need-oriented precise nursing. The changes of disease recognition,neurological function and living ability were compared between the two groups. Results The observation group was significantly better than the control group in disease awareness rate,health knowledge mastery and early rehabilitation training cognition( P <0. 05). After 3 months of intervention,the NHISS score of the observation group was lower than that of the control group,the ADL score was higher than that of the control group,the prognosis was better than that of the control group,with there were significant differences( P < 0. 05). Conclusion Precise nursing can meet the nursing needs of patients with acute cerebral infarction,improve the recognition of rehabilitation training,and promote the recovery of nervous function and living ability.
Objective To explore the effect of precise nursing on neurological function and prognosis of patients with acute cerebral infarction. Methods Totally 50 patients with acute cerebral infarction from January to December 2017 were selected as the control group,and were treated with routine nursing. Another 50 patients with acute cerebral infarction from January to December 2018 were selected as the observation group,and were treated with the patients' need-oriented precise nursing. The changes of disease recognition,neurological function and living ability were compared between the two groups. Results The observation group was significantly better than the control group in disease awareness rate,health knowledge mastery and early rehabilitation training cognition( P <0. 05). After 3 months of intervention,the NHISS score of the observation group was lower than that of the control group,the ADL score was higher than that of the control group,the prognosis was better than that of the control group,with there were significant differences( P < 0. 05). Conclusion Precise nursing can meet the nursing needs of patients with acute cerebral infarction,improve the recognition of rehabilitation training,and promote the recovery of nervous function and living ability.
引文
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[12]郑轩.精准护理在神经外科多重耐药菌感染控制中的应用[J].中国继续医学教育,2017,9(34):149-150.
[13]陈芳,郑萍萍,李龙倜.以患者需求为导向的精准护理服务模式在老年慢性病患者中的应用与评价[J].护士进修杂志,2017,32(20):1877-1880.
[14]姜春蕾.卒中单元超早期康复治疗对急性脑梗死患者的效果分析[J].国际医药卫生导报,2018,24(11):1651-1654.
[2]李刘英,车德亚,徐晓娅.中西医结合卒中单元管理模式对脑梗死急性期患者智能障碍恢复的临床观察[J].河北中医,2017,39(3):397-401.
[3]田亚丽,冯先琼,路潜,等.精准护理的应用领域及发展方向[J].中华护理杂志,2017,52(10):1273-1275.
[4]全国第四届脑血管会议.各类脑血管病的诊断要点[J].中华神经科杂志,1996,29(6):379-379.
[5]崔会,王春华,张延红,等.缺血性脑卒中患者护理需求评估问卷的编制[J].中华护理教育,2018,15(11):810-814.
[6]吴琳,赵菁,周东升,等.卒中护理单元对脑梗死患者护理质量和神经功能的影响[J].中国实用神经疾病杂志,2015,18(4):130-131.
[7]杜莎莎.目标管理在急性脑梗死病人康复训练中的应用效果观察[J].护理研究,2015,29(4):1517-1519.
[8]李红艳,李瑜霞,贾晓莹,等.基层脑卒中单元对脑卒中患者的早期干预效果[J].中国老年学杂志,2016,36(18):4486-4488.
[9]叶维敏,洪显钗,留盈盈,等.个体化健康教育对动脉粥样硬化性脑梗死患者预后的影响[J].浙江临床医学,2016,18(3):506-507.
[10]屈莉,秦爱玲.责任护士对脑梗塞患者卒中单元管理护理实践[J].当代护士,2017,24(2):184-185.
[11]阮征,刘芳.协同护理对脑卒中患者照顾者负担影响的调查分析[J].护士进修杂志,2015,30(20):421-424.
[12]郑轩.精准护理在神经外科多重耐药菌感染控制中的应用[J].中国继续医学教育,2017,9(34):149-150.
[13]陈芳,郑萍萍,李龙倜.以患者需求为导向的精准护理服务模式在老年慢性病患者中的应用与评价[J].护士进修杂志,2017,32(20):1877-1880.
[14]姜春蕾.卒中单元超早期康复治疗对急性脑梗死患者的效果分析[J].国际医药卫生导报,2018,24(11):1651-1654.