Application of Stratified Nursing Under the Score of Neurological Deficit in the Rescue of Acute Cerebral Infarction Patients
Objective:To investigate the value of stratified care under the Neurological Impairment Score(NIHSS)in the ambu-lance care of patients with acute stroke(ACI),and to provide a basis for the clinical care of ACI patients.Methods:86 ACI pa-tients admitted to the hospital from August 2020 to April 2022 were selected as the study subjects,and they were divided into con-trol group and stratified group according to the admission time,with 43 cases in each group.The control group implemented con-ventional nursing interventions,and the stratified group implemented stratified nursing interventions under the NIHSS score on the basis of conventional nursing.The emergency treatment time,ICU stay time,hospitalization time,NIHSS score,daily living ability[Barthel Index(BI)scale score],quality of life[Stroke Impact Scale(SIS)score],and complication rate were compared between the two groups.Results:There was no statistically significant difference in emergency treatment time between the two groups(t=1.398,P＞0.05).The ICU stay and hospitalization time of the stratified group were significantly shorter than that of the control group,and the difference was statistically significant(t=4.173,4.551,P＜0.05).After care,the stratified group had lower NIHSS scores and higher BI scores than the control group,and the differences were statistically significant(t=4.836,2.309,P＜0.05).After care,the scores of all dimensions in the SIS scale were higher in the stratified group than in the control group,and the difference was statis-tically significant(t=4.545,4.935,3.740,5.916,P＜0.05).The complication rate in the stratified group was significantly lower than that in the control group,and the difference was statistically significant(χ2=4.440,P＜0.05).Conclusion:The application of strati-fied care under NIHSS score in ACI patients'ambulance can promote patients'rehabilitation,improve their neurological function,improve their quality of life,and reduce the complication rate.
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