首页|以问题为导向的护理干预对脑梗死取栓术患者自护能力及康复效果的影响

以问题为导向的护理干预对脑梗死取栓术患者自护能力及康复效果的影响

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目的 探讨以问题为导向的护理干预对脑梗取栓术患者自我护理能力及康复效果的影响.方法 选取行机械取栓术的82例脑梗死患者,按照入院先后顺序分为对照组和研究组,每组41例.对照组患者采用常规护理,研究组在对照组基础上采用以问题为导向的护理干预.采用自我护理能力评估量表(ESCA)、脑卒中康复自我效能量表(SSEQ),美国国立卫生研究院卒中量表(NIHSS)和Barthel指数评定量表(BI)评估干预效果.结果 研究组患者ESCA量表各维度评分及总分、SSEQ量表各维度评分及总分均高于对照组(P<0.05);研究组患者NIHSS评分低于对照组,BI评分高于对照组,差异均有统计学意义(P<0.05).结论 以问题为导向的护理干预能够有效改善脑梗死取栓术患者术后自我护理能力,提高患者术后康复的自我效能,促进患者神经功能及日常生活能力的恢复.
Impacts of problem-oriented nursing interventions on the self-care and rehabilitation efficacy of cerebral infarction patients treated with embolectomy
Objective To explore the impacts of problem-oriented nursing interventions on the self-care and rehabilitation efficacy of cerebral infarction(CI)patients treated with embolectomy.Methods A total of 82 CI patients who received the mechanical embolectomy in the hospital were selected as subjects.They were divided into the control group(n=41)and research group(n=41)based on the admission sequence.Regular nursing measures were applied to patients in both groups,and problem-oriented nursing interventions were additionally performed in patients of the research group.The Exercise of Self-Care Agency(ESCA)Scale,Stroke Self-Efficacy Questionnaire(SSEQ),National Institute of Health Stroke Scale(NIHSS),and Barthel Index(BI)were adopted to assess the intervention efficacies.Results After the interventions,the scores of each dimension in the ESCA and SSEQ and their total scores were significantly higher in the research group than those of control group(P<0.05).Patients in the research group had significantly lower NIHSS score,but significantly higher BI than those of the control group(P<0.05).Conclusion Problem-oriented nursing interventions can effectively enhance the postoperative self-care of CI patients treated with embolectomy,improve their self-efficacy for postoperative rehabilitation,and promote the recovery of neurological functions and daily living ability.

cerebral infarctionmechanical embolectomyproblem-orientedrehabilitation effect

谢敬、唐雨晴、马争飞

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234000 安徽省宿州市立医院神经内科

234000 安徽省宿州市立医院神经介入科

脑梗死 机械取栓 问题导向 康复效果

宿州市科技计划项目

20200011

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(13)
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