莱温守恒模式护理干预对急性脑梗死患者自我管理能力、肢体运动及神经功能的影响
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摘要
目的研究莱温守恒模式护理干预对急性脑梗死患者自我管理能力、肢体运动功能及神经功能的影响。方法选择2016年10月-2017年10月在海安市中医院神经内科收治行常规护理干预的57例急性脑梗死患者为对照组,选择2017年11月-2018年11月收治行莱温守恒模式护理干预的57例急性脑梗死患者为观察组,比较2组患者干预前后自我管理能力评分、肢体运动功能(FMA)评分、神经功能缺损程度(NIHSS)评分及护理满意度情况。结果与对照组干预后比较,观察组干预后患者自我管理能力评分和FMA评分均升高, NIHSS评分降低,差异有统计学意义(P<0.05)。与对照组比较,观察组患者护理满意度升高,差异有统计学意义(P<0.05)。结论莱温守恒模式护理干预应用于急性脑梗死患者可有效提高患者自我管理能力,改善肢体运动功能,减轻神经功能缺损程度,提高患者护理满意度。
Objective To explore the effect of Lai Wen conservation model nursing intervention on self-management ability, limb motor function and nerve function in patients with acute cerebral infarction. Methods Fifty-seven patients with acute cerebral infarction received routine nursing intervention from October 2016 to October 2017 in the Department of Neurology of Haian Traditional Chinese Medicine Hospital were selected as the control group, while 57 patients with acute cerebral infarction received Lai Wen Conservation Model Nursing Intervention from November 2017 to November 2018 were selected as the observation group. Self-management ability score, limb motor function score, neurological deficit score and nursing satisfaction between the two groups were compared. Results Compared with the control group after intervention, the self-management ability score and FMA score of the patients in the observation group increased, while the NIHSS score decreased, with statistical significance(P<0.05). Compared with the control group, the nursing satisfaction of the patients in the observation group increased with statistical significance(P<0.05). Conclusion The application of Lai Wen conservative nursing intervention in patients with acute cerebral infarction can effectively improve the self-management ability, improve limb motor function, reduce the degree of neurological deficit, and improve satisfaction with nursing for patients.
Objective To explore the effect of Lai Wen conservation model nursing intervention on self-management ability, limb motor function and nerve function in patients with acute cerebral infarction. Methods Fifty-seven patients with acute cerebral infarction received routine nursing intervention from October 2016 to October 2017 in the Department of Neurology of Haian Traditional Chinese Medicine Hospital were selected as the control group, while 57 patients with acute cerebral infarction received Lai Wen Conservation Model Nursing Intervention from November 2017 to November 2018 were selected as the observation group. Self-management ability score, limb motor function score, neurological deficit score and nursing satisfaction between the two groups were compared. Results Compared with the control group after intervention, the self-management ability score and FMA score of the patients in the observation group increased, while the NIHSS score decreased, with statistical significance(P<0.05). Compared with the control group, the nursing satisfaction of the patients in the observation group increased with statistical significance(P<0.05). Conclusion The application of Lai Wen conservative nursing intervention in patients with acute cerebral infarction can effectively improve the self-management ability, improve limb motor function, reduce the degree of neurological deficit, and improve satisfaction with nursing for patients.
引文
[1] 郭红梅,李丽,晋子纯,等.Solitaire AB支架机械取栓治疗急性脑梗死病人围术期护理的研究进展[J].中西医结合心脑血管病杂志,2018,16(17):2519-2522.
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[14] SUH M,CHOI-KWON S,KIM J S.Sleep disturbances after cerebral infarction:role of depression and fatigue[J].Stroke Cerebrovasc Dis,2014,23(7):1949-1955.
[15] 李新红.不同吸痰体位在老年脑梗死病人吸痰中的应用[J].护理研究,2016,30(12):1502-1504.
[16] SHINOHARA Y,INOUE S.Cost-effectiveness analysis of the neuroprotective agent edaravone for noncardioembolic cerebral infarction[J].Stroke Cerebrovasc Dis,2013,22(5):668-674.
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[18] 陈素芹,赖葱葱,廖丽霞.强化康复护理对脑梗死偏瘫患者肢体功能恢复的影响[J].护理学杂志,2016,31(5):72-73.
[2] 金燕,陈静,李煜珍,等.远程康复护理干预对急性脑卒中偏瘫病人日常生活能力及照顾者压力指数的影响[J].护理研究,2016,30(2):202-204.
[3] LIN A Q,SHOU J X,LI X Y,et al.Metabolic changes in acute cerebral infarction:Findings from proton magnetic resonance spectroscopic imaging[J].Exp Ther Med,2014,7(2):451-455.
[4] 中华医学会神经科学会.第四届全国脑血管病学会术会议通过的脑梗塞的诊断及评分[J].中华神经科杂志,1996,29(6):379-381.
[5] 季红娟.康复护理干预对脑梗死患者吞咽功能障碍的改善效果评价[J].齐齐哈尔医学院学报,2017,38(20):2478-2479.
[6] SKOLOUDIK D,KULIHA M,HRBAC T,et al.Sonolysis in pevention of brain infarction during carotid endarterectomy and stenting (sonobuster):a randomized,controlled trial[J].Eur Heart,2016,37(40):3096-3102.
[7] 姚爽.偏瘫治疗仪结合分级功能训练在脑梗死患者中的应用与护理[J].天津护理,2018,26(1):75-76.
[8] 徐立,王群,张笑平,等.急性脑梗死患者静脉溶栓院内时间延误的护理干预及效果评价[J].中国护理管理,2017,17(2):257-260.
[9] LEE M J,PARK E,KIM H C,et al.Timely interventions can increase smoking cessation rate in men with ischemic stroke[J].Korean Acad Nurs,2016,46(4):610-617.
[10] 李秀霞,卢双顺,安雅臣,等.脑梗死血管性认知障碍患者的注意力训练[J].护理学杂志,2016,31(11):8-10.
[11] 罗坚,肖淑宁,朱和坤,等.Bobath握手和双桥运动翻身法对护理人力成本的影响[J].护理管理杂志,2016,16(10):749-751.
[12] 胡萍,潘业丽,吕进凤,等.出院计划新模式在急性脑梗死患者预后中的作用[J].齐齐哈尔医学院学报,2016,37(9):1237-1239.
[13] 汪桂琴,刘富琴,吕锡丽.“345”护理文化建设在急性脑梗死患者中的应用[J].中国实用神经疾病杂志,2016,19(18):139-140.
[14] SUH M,CHOI-KWON S,KIM J S.Sleep disturbances after cerebral infarction:role of depression and fatigue[J].Stroke Cerebrovasc Dis,2014,23(7):1949-1955.
[15] 李新红.不同吸痰体位在老年脑梗死病人吸痰中的应用[J].护理研究,2016,30(12):1502-1504.
[16] SHINOHARA Y,INOUE S.Cost-effectiveness analysis of the neuroprotective agent edaravone for noncardioembolic cerebral infarction[J].Stroke Cerebrovasc Dis,2013,22(5):668-674.
[17] 梁带香.健康信念理论结合中医特色康复护理对脑梗死恢复期患者的影响[J].护理管理杂志,2016,16(8):553-555.
[18] 陈素芹,赖葱葱,廖丽霞.强化康复护理对脑梗死偏瘫患者肢体功能恢复的影响[J].护理学杂志,2016,31(5):72-73.