Application of Injury Control Theory Model in Emergency Care of Patients with Acute Ischemic Stroke
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维普
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目的 分析损伤控制理论模型在急性缺血性卒中(cerebral ischemic stroke,CIS)患者急诊护理中的应用情况.方法 选取锦州医科大学附属第一医院2021年8月至2023年3月所收治的150例缺血性脑卒中患者.将75例未接受损伤控制理论模型的急诊护理患者设定为对照组,75例接受损伤控制理论模型的急诊护理患者设定为观察组.利用统计学分析美国国立卫生院卒中量表(NIH stroke scale,NIHSS),Cronbach'α系数为0.920;格拉斯哥昏迷评分法(glasgow coma scale,GCS),Cronbach'α系数为0.769;日常生活活动能力表(barthel index,BI),Cronbach'α系数为0.885;简易精神状态量表(mini-mental state examination,MMSE),Cronbach'α系数为0.854,救治效果、并发症、生活质量评分、满意度评分.结果 护理后,在美国国立卫生院卒中量表评分、格拉斯哥昏迷评分、日常活动能力评分和简易智力状态检查评分方面,观察组具有明显优势;在诊治时间,观察组明显更短;并发症方面,观察组更低;生存质量评分方面,观察组明显更高;观察组满意度明显更高(P＜0.05).结论 损伤控制理论模型的急诊护理改善NIHSS、GCS的效果较明显,并且能够减少并发症发生,提高生活质量,值得积极采纳.
Objective To analyze the application of the theoretical model of injury control in the emergency care of patients with acute ischemic stroke(CIS).Methods A total of 150 ischemic stroke patients admitted to the First Affiliated Hospital of Jinzhou Medical University from August 2021 to March 2023 were enrolled.Seventy-five emergency care patients who did not receive the theo-retical model of injury control were set as the control group.Seventy-five patients in emergency care who received the theoretical model of injury control were set up as observation groups.The NIH stroke scale(NIHSS)was statistically analyzed,and Cronbach'α coeffi-cient was 0.920,glasgow coma scale(GCS),Cronbach'α coefficient was 0.769,(barthel index,BI),Cronbach'α coefficient was 0.885,mini-mental state examination(MMSE),Cronbach'α coefficient was 0.854,treatment effect,complications,quality of life score,and satisfaction score.Results After nursing,the observation group had obvious advantages in the score of stroke scale,Glasgow coma score,daily activity ability score and mini-mental status examination score;the time of diagnosis and treatment was shorter in observation group;complications were lower in the observation group;in terms of quality of life score,the observation group was significantly higher;the satisfaction of observation group was significantly higher(P＜0.05).Conclusion The effect of emergen-cy nursing in improving NIHSS and GCS is obvious,and it can reduce the occurrence of complications and improve the quality of life,which is worthy of active adoption.
theoretical model of injury controlemergency careacute ischemic strokeNIHSS
维普
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