目的 探讨在重症监护室脑出血患者护理中应用目标导向性康复护理的效果.方法 方便选取2021年1月—2023年12月淮安八十二医院重症监护室收治的92例脑出血患者为研究对象,按不同护理方法分组.对照组46例采用常规护理,观察组46例采用目标导向性康复护理,对比两组神经功能、认知功能、运动功能与日常生活能力、护理满意度.结果 观察组护理后美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分为(10.15±1.47)分,低于对照组的(15.57±2.14)分,简易智力状态检查评分(Mini-Mental State Examination,MMSE)为(27.69±1.07)分高于对照组的(24.15±2.10)分,差异均有统计学意义(t=14.159,10.187;P均<0.05).护理前,两组患者Fugl-Meyer量表(Fugl-Meyer Assessment Scale,FMA)评分、改良Barthel指数评估量表(Modified Barthel Index,MBI)比较,差异均无统计学意义(P均>0.05);护理后,观察组FMA、MBI评分均高于对照组,差异均有统计学意义(P均<0.05).观察组护理满意度高于对照组,差异有统计学意义(P<0.05).结论 目标导向性康复护理应用于重症监护室脑出血患者中,可改善神经功能与认知、运动功能,增强患者日常活动能力,提高患者护理满意度.
Effectiveness of Goal-Oriented Rehabilitation Care in Patients with Cere-bral Hemorrhage in the Intensive Care Unit
Objective To explore the effect of applying goal-oriented rehabilitation nursing in the care of patients with cerebral haemorrhage in intensive care unit.Methods A total of 92 patients with cerebral hemorrhage admitted to the intensive care unit of Huai'an 82 Hospital from January 2021 to December 2023 were conveniently selected as the re-search objects and grouped according to different nursing methods.46 cases in the control group were treated with rou-tine nursing,and 46 cases in the observation group were treated with goal-oriented rehabilitation nursing.The neuro-logical function,cognition function,motor function and daily living ability,and nursing satisfaction were compared be-tween the two groups.Results After nursing,the National Institute of Health Stroke Scale(NIHSS)score of the obser-vation group was(10.15±1.47)points,which was lower than that of the control group(15.57±2.14)points,and the Mini-Mental State Examination(MMSE)score was(27.69±1.07)points,which was higher than that of the control group(24.15±2.10)points.the differences were statistically significant(t=14.159,10.187;both P<0.05).Before nurs-ing,there was no statistical significance in Fugl-Meyer Assessment Scale(FMA)score and Modified Barthel Index(MBI)between the two groups(all P>0.05).After nursing,FMA and MBI scores in the observation group were higher than those in the control group,the differences were statistically significant(all P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of goal-oriented rehabilitation nursing in the care of patients with cerebral haemor-rhage in the intensive care unit can improve the patients'neurological,cognitive and motor functions,enhance the pa-tients'ability to perform daily activities,and improve the patients'nursing satisfaction.
Goal-oriented rehabilitation nursingIntensive care unitCerebral haemorrhageNeurological functionCognitive functionNursing satisfaction
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