首页|预见性护理干预方案对急诊脑卒中患者躯体功能康复的影响

预见性护理干预方案对急诊脑卒中患者躯体功能康复的影响

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目的 探讨预见性护理干预方案对急诊脑卒中患者躯体功能康复的影响.方法 采用前瞻性对照研究设计,选取 2022 年 4 月至 2024 年 3 月在厦门大学附属中山医院急诊科就诊的 88 例脑卒中患者,根据就诊时间分为对照组(42例)和观察组(46 例).对对照组给予常规护理,对观察组在常规护理的基础上实施预见性护理干预方案.比较两组患者干预前后的躯体功能(Barthel指数、Fugl-Meyer量表评分、mRS评分)、运动功能(6分钟步行试验、站立平衡测试)、心理状态(PHQ-9 评分、GAD-7 评分)及护理满意度.结果 干预后,两组患者的躯体功能、运动功能和心理状态均有显著改善(P<0.05).观察组在Barthel指数、Fugl-Meyer量表评分、mRS评分、6 分钟步行试验、站立平衡测试、PHQ-9评分和GAD-7评分方面的改善程度均优于对照组(P<0.05).观察组患者的护理满意度显著高于对照组(P<0.05).结论 预见性护理干预方案能够有效改善急诊脑卒中患者的躯体功能、运动能力和心理状态,提高护理满意度,值得在临床实践中推广应用.
The Impact of Predictive Nursing Intervention Program on Physical Function Rehabilitation in Emergency Stroke Patients
Objective To investigate the impact of a predictive nursing intervention program on physical function rehabilitation of emergency stroke patients.Methods A prospective controlled study design was adopted,selecting 88 stroke patients who visited the emergency department of Zhongshan Hospital Affiliated to Xiamen University from April 2022 to March 2024.Based on the time of visit,they were divided into a control group(42 cases)and an observation group(46 cases).The control group received routine care,while the observation group received a predictive nursing intervention program in addition to routine care.Physical function(Barthel Index,Fugl-Meyer Scale,mRS score),motor function(6-minute walk test,standing balance test),psychological status(PHQ-9 depression score,GAD-7 anxiety score),and nursing satisfaction were compared between the two groups before and after intervention.Results After the intervention,both groups showed significant improvements in physical function,motor function,and psychological status(P<0.05).The observation group had greater improvements in the Barthel Index,Fugl-Meyer Scale,mRS score,6-minute walk test,standing balance test,PHQ-9 depression score,and GAD-7 anxiety score compared to the control group(P<0.05).Nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusions The predictive nursing intervention program can effectively improve the physical function,motor ability,and psychological status of emergency stroke patients,and increase nursing satisfaction.It is worthy of promotion and application in clinical practice.

StrokePredictive NursingPhysical FunctionRehabilitationSatisfaction

赖镜洪、兰建雄、陈艺娜

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厦门大学附属中山医院急诊科抢救室,福建厦门 361000

厦门大学附属中山医院厦禾分部,福建厦门 361000

脑卒中 预见性护理 躯体功能 康复 满意度

2024

生物医学工程学进展
上海市生物医学工程学会

生物医学工程学进展

影响因子:0.504
ISSN:1674-1242
年,卷(期):2024.45(4)