分析创新扩散理论模式干预对中风后遗症老年患者的应用效果
Analysis of the Application Effect of Innovative Diffusion Theory Intervention on Elderly Patients with Stroke Sequelae
张璇1
作者信息
- 1. 厦门大学附属中山医院,厦门,361000
- 折叠
摘要
目的:分析创新扩散理论模式干预对中风后遗症老年患者日常生活活动能力及睡眠质量的影响.方法:选取2022年5月至2023年5月厦门大学附属中山医院全能医学科收治的中风后遗症老年患者86例作为研究对象,按照随机数字表法分为观察组和对照组,每组43例.对照组给予常规护理干预,观察组给予创新扩散理论模式干预.采用美国国立卫生研究院卒中量表(NIHSS)比较2组患者干预前后神经功能缺损程度,评定2组中风后遗症老年患者护理前后睡眠质量的变化,从夜间总睡眠时间、睡眠潜伏期、睡眠效率进行判定;采用日常生活能力量表(ADL)比较2组患者的生命质量.结果:干预后,观察组NIHSS评分显著低于对照组,观察组ADL评分显著高于对照组,观察组总睡眠时间、睡眠效率显著高于对照组,睡眠潜伏期显著低于对照组,差异均有统计学意义(均P<0.05).结论:创新扩散理论模式下的干预措施对中风后遗症老年患者日常生活活动能力及睡眠质量提升具有积极的影响,能有效提高患者的生命质量,值得临床推广应用.
Abstract
Objective:To analyze the impact of innovative diffusion theory intervention on the daily living activities and sleep quality of elderly patients with stroke sequelae.Methods:A total of 86 elderly patients with post-stroke sequelae admitted to the Department of Universal Medicine,Zhongshan Hospital,Xiamen University from May 2022 to May 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into an observation group and a control group,with 43 cases in each group.The control group received routine nursing intervention,while the observation group received innovative diffu-sion theory intervention.The National Institutes of Health Stroke Scale(NIHSS)was used to compare the degree of neurological deficits between two groups of patients before and after the intervention and to evaluate the changes in sleep quality before and af-ter nursing care for elderly patients with post-stroke sequelae.The assessment was based on the total nighttime sleep time,sleep latency,and sleep efficiency;the quality of life between two groups of patients was compared using the Activities of Daily Living(ADL)scale.Results:After intervention,the NIHSS score of the observation group was significantly lower than that of the control group,and the ADL score of the observation group was significantly higher than that of the control group.The total sleep time and efficiency of the observation group were significantly higher than those of the control group,and the sleep latency was considerably lower than that of the control group.The differences between the two groups were statistically significant(P<0.05),as shown in Table 2.Conclusion:Intervention measures under the innovative diffusion theory model positively impact the improvement of daily life activities and sleep quality in elderly patients with stroke sequelae,which can effectively improve the quality of life of patients and is worthy of clinical promotion and application.
关键词
创新扩散理论模式护理/中风/中风后遗症/睡眠质量/脑血管疾病/老年人Key words
Innovation diffusion theory model nursing/Stroke/Poststroke sequelae/Sleep quality/Cerebrovascular diseases/Old patients引用本文复制引用
出版年
2024