首页|MCDA构建的卒中相关性肺炎集束干预策略在急性脑梗死患者中的应用

MCDA构建的卒中相关性肺炎集束干预策略在急性脑梗死患者中的应用

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目的:探讨多准则决策分析法(MCDA)构建的卒中相关性肺炎集束干预策略在急性脑梗死患者中的应用效果。方法:选取 2021 年 1 月 1 日~2022 年 12 月 31 日收治的 88 例急性脑梗死患者为研究对象,根据随机数字表法分为观察组和对照组各44 例,对照组给予卒中相关性肺炎常规干预策略,观察组给予MCDA构建的卒中相关性肺炎集束干预策略,均对两组连续干预至出院;比较两组干预前后生活质量[采用健康调查简表(SF-36)],康复情况、满意度、护理质量、卒中相关性肺炎发生情况、致残率。结果:观察组住院时间短于对照组(P<0。01),住院费用少于对照组(P<0。01);干预后,两组SF-36 评分高于干预前(P<0。05),且观察组高于对照组(P<0。01);干预后,观察组总满意度、护理质量均高于对照组(P<0。05,P<0。01);观察组卒中相关性肺炎发生率低于对照组(P<0。05)。结论:MCDA构建的卒中相关性肺炎集束干预策略有利于加快急性脑梗死患者的病情恢复进程,降低卒中相关性肺炎的发生风险,且可提升患者生活质量,改善预后,整体护理质量较高。
Application of Cluster Intervention Strategy for Stroke-associated Pneumonia Constructed by MCDA in Patients with Acute Cerebral Infarction
Objective:To investigate the effect of cluster intervention strategy of stroke-related pneumonia constructed by multi-criteria decision analysis(MCDA)in patients with acute cerebral infarction.Methods:A total of 88 patients with acute cerebral infarction treated from January 1,2021 to December 31,2022 were selected as the study objects,and were randomly divided into observation group and con-trol group with 44 cases in each group according to the random number table method.The control group was given the conventional inter-vention strategy for stroke-related pneumonia,and the observation group was given the cluster intervention strategy constructed by MCDA.The patients in both groups were continuously intervened until discharge.The quality of life,recovery,satisfaction,quality of care,incidence of stroke-related pneumonia,disability rate and mortality were compared between the two groups before and after intervention.Results:The hospitalization time of the observation group was shorter than that in the control group(P<0.05),and the hospitalization cost was lower than that in the control group(P<0.05).After intervention,the SF-36 scores of the two groups were higher than that before intervention(P<0.05),and the scores in the observation group was higher than that in the control group(P<0.05).After intervention,the total satis-faction and nursing quality of the observation group were higher than those in the control group(P<0.05).The incidence of stroke-related pneumonia in observation group was lower than that in control group(P<0.05).Conclusion:The cluster intervention strategy of stroke-asso-ciated pneumonia constructed by MCDA can accelerate the recovery process of the patients with acute cerebral infarction,reduce the risk of stroke-associated pneumonia so as to improve the quality of life of patients and improve the prognosis and the overall quality of care.

Stroke-associated pneumoniaCluster interventionMCDAAcute cerebral infarction

舒卫丰、何志敏、吴深兰、曾宇瑜、黄继芬

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华南理工大学附属第六医院 佛山市南海区人民医院 广东佛山 528200

卒中相关性肺炎 集束化干预 多准则决策分析法 急性脑梗死

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(13)