世界睡眠医学杂志2024,Vol.11Issue(7) :1540-1542,1545.DOI:10.3969/j.issn.2095-7130.2024.07.034

集中式护理干预对脑梗死恢复期患者睡眠质量及神经功能的改善作用

Effect of Centralized Nursing Intervention on Sleep Quality and Nerve Function in Convalescent Patients with Cerebral Infarction

王滢 冯秋红 林雅琼
世界睡眠医学杂志2024,Vol.11Issue(7) :1540-1542,1545.DOI:10.3969/j.issn.2095-7130.2024.07.034

集中式护理干预对脑梗死恢复期患者睡眠质量及神经功能的改善作用

Effect of Centralized Nursing Intervention on Sleep Quality and Nerve Function in Convalescent Patients with Cerebral Infarction

王滢 1冯秋红 1林雅琼1
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作者信息

  • 1. 宁德师范学院附属宁德市医院神经内科,宁德,352100
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摘要

目的:探析集中式护理干预对脑梗死恢复期患者的睡眠质量及神经功能的改善作用.方法:选取2022年7月至2023年6月宁德师范学院附属宁德市医院神经内科收治的脑梗死恢复期患者74例作为研究对象,采用随机单双号法分为对照组和观察组,每组37例.对照组采用常规护理,观察组采用集中式护理,比较2组干预前后自我效能感[脑卒中自我效能感问卷(SSEQ)评价]、神经功能[神经功能缺损评分(NIHSS)评价]、运动功能[Fugl-Meyer运动功能评分法(FMA)评估]及睡眠质量[多导睡眠分析系统(SW-SM2000C)检测]变化.结果:干预后,观察组SSEQ问卷2项评分均较对照组更高(均P<0.05);观察组NIHSS评分较对照组更低,FMA评分较对照组更高(均P<0.05);观察组睡眠效率较对照组更高、总睡眠时间较对照组更长、觉醒次数和睡前潜伏期较对照组更少(均P<0.05).结论:集中式护理干预对脑梗死患者自我效能、神经功能恢复及睡眠质量均可产生积极影响.

Abstract

Objective:To explore the implementation value and significance of centralized nursing intervention in patients with cerebral infarction.Methods:A total of 74 patients in the convalescent stage of cerebral infarction admitted to the Department of Neurology,Ningde Hospital Affiliated to Ningde Normal University from July 2022 to June 2023 were selected as the study ob-jects,and were divided into control group and observation group by random odd-even number method,with 37 cases in each group.The control group received routine nursing,and the observation group received centralized nursing.The changes of self-effi-cacy[Stroke Self-Efficacy Questionnaire(SSEQ)],neurological function[National Institutes of Health Stroke Scale(NIHSS)],motor function[Fugl-Meyer Assessment Scale(FMA)]and sleep quality[Polysomnography Analysis System(SW-SM2000C)]before and after intervention were compared between the two groups.Results:After intervention,the SSEQ scores of the observa-tion group were higher than those of the control group(P<0.05).The NIHSS score of observation group was lower than that of control group,and the FMA score was higher than that of control group(P<0.05).The sleep efficiency of the observation group was higher than that of the control group,the total sleep time was longer,the number of awakenings and the sleep latency were less than those of the control group(P<0.05).Conclusion:Centralized nursing intervention can have positive effects on self-efficacy,neurological function recovery and sleep quality of patients with cerebral infarction.

关键词

脑梗死/集中式护理/神经功能/睡眠质量

Key words

Cerebral infarction/Centralized care/Neural function/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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