Application effects of primary nursing based on delirium risk assessment in coma patients after stroke
Objective:To observe application effects of primary nursing based on delirium risk assessment in coma patients after stroke.Methods:The clinical data of 94 coma patients after stroke admitted to this hospital from January 2021 to December 2022 were retrospectively analyzed.They were divided into control group and observation group according to different admission time,47 cases in each group.The control group was given routine nursing,while the observation group was given the primary nursing based on delirium risk assessment on the basis of that of the control group.The incidence of delirium,the intensive care unit(ICU)stay time,the hospitalization time,the scores of Glasgow coma scale(GCS),Fugl-Meyer motor assessment(FMA)and National Institutes of Health stroke scale(NIHSS)before the nursing and at discharge,and the nursing satisfaction were compared between the two groups.Results:The incidence of delirium in the observation group was lower than that in the control group,the ICU stay time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant(P＜0.05).After the nursing,the GCS and FMA scores of the observation group were higher than those of the control group,the NIHSS score was lower than that of the control group,and the differences were statistically significant(P＜0.05).Further,the nursing satisfaction of the observation group was 95.74%(45/47),which was higher than 80.85%(38/47)of the control group,and the difference was statistically significant(P＜0.05).Conclusions:On the basis of routine nursing,the primary nursing based on delirium risk assessment can improve the GCS scores,the FMA scores and the nursing satisfaction of the coma patients after stroke,shorten the ICU stay time and the hospitalization time,and reduce the incidence of delirium and the NIHSS scores.Moreover,it is superior to simple routine nursing.
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