临床路径护理管理模式在急性脑梗死患者中的应用效果观察
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摘要
目的探究临床路径护理管理模式在急性脑梗死患者中的应用效果。方法选取该院2017年5月—2018年10月期间诊治的急性脑梗死患者84例,接受常规护理管理模式的42例患者为对照组,接受临床路径护理管理模式的42例患者为观察组,比较两组治疗前后的神经功能缺损情况(NIHSS)。结果两组干预前NIHSS评分差异无统计学意义(P>0.05);干预后,观察组NIHSS评分小于对照组,差异有统计学意义(P<0.05)。结论对急性脑梗死患者进行护理时,采用临床护理路径管理模式有利于提高临床效果,改善患者神经功能缺损情况,值得临床实践。
Objective To explore the application effect of clinical pathway nursing management model in patients with acute cerebral infarction. Methods 84 patients with acute cerebral infarction diagnosed and treated in our hospital from May2017 to October 2018 were enrolled. 42 patients who underwent routine nursing management were selected as the control group, and 42 patients who underwent clinical pathway nursing management model as observation group. The neurological deficits(NIHSS) before and after treatment were compared between the two groups. Results There was no significant difference in NIHSS scores between the two groups(P>0.05). After the intervention, the NIHSS scores of the observation group were smaller than the control group, and the difference was statistically significant(P<0.05). Conclusion When nursing patients with acute cerebral infarction, adopting clinical nursing pathway management mode is beneficial to improve clinical effect and improve neurological deficit in patients, which is worthy of clinical practice.
Objective To explore the application effect of clinical pathway nursing management model in patients with acute cerebral infarction. Methods 84 patients with acute cerebral infarction diagnosed and treated in our hospital from May2017 to October 2018 were enrolled. 42 patients who underwent routine nursing management were selected as the control group, and 42 patients who underwent clinical pathway nursing management model as observation group. The neurological deficits(NIHSS) before and after treatment were compared between the two groups. Results There was no significant difference in NIHSS scores between the two groups(P>0.05). After the intervention, the NIHSS scores of the observation group were smaller than the control group, and the difference was statistically significant(P<0.05). Conclusion When nursing patients with acute cerebral infarction, adopting clinical nursing pathway management mode is beneficial to improve clinical effect and improve neurological deficit in patients, which is worthy of clinical practice.
引文
[1]杨洁.一体化急救护理模式对老年急性脑梗死患者康复效果的影响[J].中国慢性病预防与控制,2017,25(7):548-550.
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[2]李培娟,赵振莹.分级护理管理对脑梗死患者睡眠障碍的影响[J].齐鲁护理杂志,2017,23(13):93-95.
[3]罗淑超.急性脑梗塞临床规范化护理管理对预后影响分析[J].大家健康:学术版,2014,8(14):260.
[4]孙芙蓉,于雁.冰刺激延续护理模式对改善脑梗死患者吞咽困难的效果研究[J].中国护理管理,2014,14(9):991-993.
[5]贺婧.急性脑梗死患者行rt-PA静脉溶栓治疗的护理管理探讨[J].世界临床医学,2015,9(9):230-231.
[6]梁燕萍,何家成,麦丽逢.对急性脑梗死患者进行急诊护理流程管理的效果观察[J].当代医学,2016,22(8):104-105.
[7]王巧梅.PDCA管理对急性脑梗死患者合并医源性肺感染的影响[J].临床合理用药杂志,2017,10(23):115-116.
[8]魏向红.急性脑梗死患者临床路径护理管理应用效果评价[J].中外医学研究,2014,12(22):100-102.