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时效性激励护理在急性脑梗死患者中的应用效果

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目的:观察时效性激励护理在急性脑梗死患者中的应用效果.方法:选取 2018 年 1 月至 2020 年 1 月该院收治的 60 例急性脑梗死患者进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各 30 例.对照组采用常规护理,观察组在对照组基础上采用时效性激励护理.比较两组护理前后心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]评分、日常生活活动能力[改良Barthel指数(MBI)]评分和认知功能[蒙特利尔认知评估量表(MoCA)]评分.结果:护理后,两组坚韧、乐观、力量等CD-RISC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组MBI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组MoCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用时效性激励护理可提高急性脑梗死患者心理弹性、日常生活活动能力和认知功能评分,其效果优于单纯常规护理.
Application effects of timeliness incentive nursing in patients with acute acerebral infarction
Objective:To observe application effects of timeliness incentive nursing in patients with acute cerebral infarction.Methods:A prospective study was conducted on 60 patients with acute cerebral infarction admitted to the hospital from January 2018 to January 2020.They were divided into control group and observation group by using the random number table method,30 cases in each group.The control group was given routine nursing,while the observation group was given the timeliness incentive nursing on the basis of that of the control group.The scores of psychological resilience[Connor-Davidson resilience scale(CD-RISC)],the activities of daily living[modified Barthel index(MBI)],and the cognitive function[Montreal cognitive assessment(MoCA)]were compared between the two groups before and after the nursing.Results:After the nursing,the CD-RISC scores of tenacity,optimism and strength in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The MBI scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the MoCA scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the timeliness incentive nursing can improve the psychological resilience scores,the activities of daily living ability and the cognitive function scores of the patients with acute cerebral infarction.Moreover,it is superior to single routine nursing.

Acute cerebral infarctionTimeliness incentive nursingPsychological resilienceActivity of daily livingCognitive function

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商丘市第四人民医院神经内科,河南 商丘 476100

急性脑梗死 时效性激励护理 心理弹性 日常生活能力 认知功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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