首页|以需求为导向的跟踪式康复护理在缺血性脑卒中患者中的应用研究

以需求为导向的跟踪式康复护理在缺血性脑卒中患者中的应用研究

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目的:研究以需求调查分析为导向的跟踪式康复护理在缺血性脑卒中患者中的应用。方法:选取2019年7月至2022年9月期间在我院住院治疗出院后的缺血性脑卒中患者120例作为研究对象,将患者随机分为观察组和对照组,每组各60例。对照组患者采取常规护理,观察组患者采取以需求调查分析为导向的跟踪式康复护理,两组患者均治疗护理8周,比较两组患者干预前和干预8周后的治疗效果、生活质量、焦虑以及抑郁评分、护理满意度、护理后心理弹性之间的差异。结果:两组患者的NIHSS显著降低,Fugl-Meyer、BI评分显著升高,且观察组患者的NIHSS评分低于对照组,Fugl-Meyer、BI评分高于对照组,差异具有统计学意义(P<0。05);两组患者的认知功能、躯体功能、社会功能、情绪功能、总分均显著升高,且观察组患者显著高于对照组(P<0。05);观察组患者的护理满意度高于对照组,差异具有统计学意义(P<0。05);观察组患者的心理弹性评分显著高于对照组(P<0。05)。结论:以需求调查分析为导向的跟踪式康复护理能够改善缺血性脑卒中患者生命质量以及负面情绪,功能恢复较显著。
Study on the Application of Need-oriented Tracking Rehabilitation Nursing in Patients with Ischemic Stroke
Objective:To investigate the application of demand survey analysis-based follow-up rehabilitation nursing in patients with ischemic stroke.Methods:This study adopted a prospective research method and selected 120 patients with ischemic stroke who were treated in our hospital from July 2019 to September 2022 as the study subjects.According to the principle of random grouping,the patients were randomly divided into an observation group and a control group,with 60 cases in each group.The control group received routine nursing care,while the observation group received demand survey analysis-based follow-up rehabilitation nursing.Both groups received treatment for 8 weeks.The differences in treatment effects,quality of life,anxiety and depression scores,nursing satisfaction,and post-nursing psychological resilience between the two groups before and after intervention were compared.Results:After nursing care,the NIHSS scores of both groups significantly decreased,while Fugl-Meyer and BI scores significantly increased.The NIHSS score of the observation group was lower than that of the control group,while Fugl-Meyer and BI scores were higher than those of the control group,with statistically significant differences(P<0.05).The cognitive function,physical function,social function,emotional function,and total scores of both groups significantly improved.Moreover,the observation group had significantly higher cognitive func-tion,physical function,social function,emotional function,and total scores than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group with statistical significance(P<0.05).The personal ability,religious be-lief,positive acceptance of change ability,control ability,ability to tolerate negative emotions,and total score of the observation group were significantly lower than those of the control group(P<0.05).Conclusion:Tracking rehabilitation nursing guided by demand survey analysis can improve the quality of life and negative emotions of patients with ischemic stroke,with significant functional recovery.

Demand Investigation and Analysis OrientedTracking Rehabilitation NursingIschemic StrokeRehabilitation

孙莉、刘玉平、张婉、薛楠、姜敏、李金梅

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徐州医科大学附属医院神经内科,江苏 徐州 221000

需求调查分析 跟踪式康复护理 缺血性脑卒中 康复

徐州市科研技术项目

KC20118

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(1)
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