首页|基于达标理论的阶段性护理联合认知能力干预在老年脑卒中患者中的应用效果

基于达标理论的阶段性护理联合认知能力干预在老年脑卒中患者中的应用效果

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目的 基于达标理论探讨阶段性护理联合认知能力干预在老年脑卒中患者中的应用效果.方法 选取2020年5月至2022年12月在河南科技大学第一附属医院治疗的106例老年脑卒中患者作为研究对象.采取随机数字表法将患者分为两组,对照组接受常规护理,研究组在常规护理基础上接受基于达标理论的阶段性护理联合认知能力干预.比较两组干预后的护理依从性、日常生活能力、吞咽功能及肺部感染情况.结果 研究组的护理依从性(90.57%)高于对照组(69.81%)(P<0.05);两组护理后日常生活能力量表(ADL)评分均高于护理前(P<0.05),且研究组护理后ADL评分高于对照组(P<0.05);研究组吞咽功能的临床疗效(94.34%)高于对照组(81.13%)(P<0.05);研究组肺部感染率(5.66%)低于对照组(20.75%)(P<0.05).结论 基于达标理论的阶段性护理联合认知能力干预可有效提高老年脑卒中患者护理依从性、生活自理能力及吞咽功能,且降低患者的肺部感染率.
Application Effect of Stage Nursing Based on the Theory of Goal Attainment Combined with Cognitive Ability Intervention in Elderly Stroke Patients
Objective To explore the application effect of stage nursing based on the theory of goal attainment combined with cognitive ability intervention in elderly stroke patients.Methods A total of 106 elderly stroke patients treated in the First Affiliated Hospital of Henan University of Science and Technology from May 2020 to December 2022 were selected as research objects,and the patients were randomly divided into two groups.The control group was treated with routine nursing,and the research group was treated with staged nursing based on the theory of goal attainment combined with cognitive ability intervention on the basis of routine nursing.The clinical efficacy of nursing compliance,daily living ability,swallowing function and pulmonary infection of the two groups were observed and compared.Results The nursing compliance of study group(90.57%)was higher than control group(69.81%)(P<0.05).Activity of daily living(ADL)score after nursing was higher in both groups than before nursing(P<0.05),and ADL score after nursing in study group was higher than control group(P<0.05).The clinical effect of swallowing function in study group(94.34%)was higher than control group(81.13%)(P<0.05).The pulmonary infection rate of study group(5.66%)was lower than control group(20.75%)(P<0.05).Conclusion The application of standard stage nursing combined with cognitive ability intervention can improve elderly stroke patients'nursing compliance and self-care ability in the recovery period,and can effectively reduce the pulmonary infection rate of patients and improve the clinical effect of swallowing function.

theory of goal attainmentstage nursingcognitive interventionstroke

焦瑞娟、肖铮铮、刘益丽

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河南科技大学第一附属医院急诊重症监护室,河南洛阳 471003

河南科技大学第一附属医院神经外科,河南洛阳 471003

达标理论 阶段性护理 认知能力干预 脑卒中

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(6)
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