首页|风险预警评估护理在急性脑梗死机械取栓术后患者中的应用效果

风险预警评估护理在急性脑梗死机械取栓术后患者中的应用效果

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目的:观察风险预警评估护理在急性脑梗死机械取栓术后患者中的应用效果.方法:选取 2021 年 1 月至 2023 年 1 月该院收治的 108 例急性脑梗死机械取栓术后患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各 54 例.对照组采用常规护理,观察组在对照组基础上采用风险预警评估护理,比较两组美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数(BI)评分、并发症发生率和护理满意度.结果:护理后,两组NIHSS评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);护理后,两组BI评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为 3.70%,明显低于对照组的14.81%,差异有统计学意义(P<0.05);观察组护理满意度为 94.44%,高于对照组的 81.48%,差异有统计学意义(P<0.05).结论:在常规护理基础上采用风险预警评估护理可提高急性脑梗死机械取栓术后患者BI评分和护理满意度,以及降低NIHSS评分和并发症发生率,效果优于单纯常规护理.
Effects of risk early warning assessment nursing on patients with acute cerebral infarction after mechanical thrombectomy
Objective:To observe effects of risk early warning assessment nursing on patients with acute cerebral infarction after mechanical thrombectomy.Methods:A prospective study was conducted on 108 patients with acute cerebral infarction after mechanical thrombectomy from January 2021 to January 2023.According to the random number table method,they were divided into observation group and control group,54 cases in each group.The control group was given routine nursing,while the observation group was given the risk early warning evaluation nursing on the basis of that of the control group.The National Institutes of Health stroke scale(NIHSS)score,the Barthel index(BI)score,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the NIHSS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the BI 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 difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.70%,which was significantly lower than 14.81%in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 94.44%,which was higher than 81.48%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the risk early warning assessment nursing can improve the BI scores and the nursing satisfaction of the patients with acute cerebral infarction after mechanical thrombectomy,and reduce the NIHSS scores and the incidence of complications.Moreover,it is superior to single routine nursing.

Acute cerebral infarctionMechanical thrombectomyPostoperativeRisk early warning assessmentNursingNeurological deficit

李宛

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郑州大学第一附属医院核医学科,河南 郑州 450000

急性脑梗死 机械取栓术 术后 风险预警评估 护理 神经功能缺损

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(8)
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