阶梯式护理在脑梗死双联抗血小板药物治疗期间的效果
Effect of Stepwise Nursing During the Treatment of Cerebral Infarction with Dual Antiplatelet Drugs
陈利萍 1隆艳 1陈素洁1
作者信息
- 1. 湖北省利川市民族中医院,湖北 利川 445400
- 折叠
摘要
目的:观察阶梯式护理干预在脑梗死患者行双联抗血小板治疗(DAPT)期间的应用效果.方法:回顾性分析2021 年 3 月—2024 年 3 月本院完成治疗与护理干预的81 例脑梗死患者资料,患者在入院后均完成常规对症支持治疗,并行DAPT治疗,DAPT治疗治疗期间 40 例接受常规护理的患者纳入对照组,41 例接受阶梯式护理的患者纳入观察组.比较两组神经功能[美国国立卫生研究院卒中量表(NIHSS)评估]、用药依从性[Morisky依从性评分表(MMAS-8)评估]及自护能力[自护能力测定量表(ESCA)].结果:干预后,观察组NIHSS评分低于对照组,ESCA各项维度评分高于对照组(P<0.05);且观察组患者整体服药依从性及总依从率高于对照组(P<0.05).结论:脑梗死患者行DAPT治疗期间开展阶梯式护理干预更利于促进患者用药依从性及自护能力提升,患者神经功能的改善情况更好.
Abstract
Objective:To observe the application effect of stepwise nursing intervention in patients with cerebral infarction during dual antiplatelet therapy(DAPT).Methods:The data of 81 patients with cerebral infarction who completed treatment and nursing intervention in the hospital from March 2021 to March 2024 were retrospectively analyzed.All patients completed routine symptomatic support treatment and DAPT treatment after admission.During DAPT treatment,40 patients who received routine nursing were included in the control group,and 41 patients who received stepwise nursing were included in the observation group.The neurological function[National Institutes of Health Stroke Scale(NIHSS)assessment],medication compliance[the 8-item Morisky Medication Adherence Scale(MMAS-8)]and self-care ability[the Exercise of Self-care Agency(ESCA)Scale]were compared between the two groups.Results:After intervention,the NIHSS score of the observation group was lower than that of the control group,and the scores of ESCA dimensions were higher than those of the control group(P<0.05).The overall medication compliance and total compliance rate of the observation group were higher than those of the control group(P<0.05).Conclusion:Stepwise nursing intervention during DAPT treatment in patients with cerebral infarction is more conducive to promoting patients'medication compliance and self-care ability,and the improvement of patients'neurological function is better.
关键词
脑梗死/双联抗血小板治疗/阶梯式护理/神经功能/依从性/自护能力Key words
Cerebral infarction/Dual antiplatelet therapy/Stepwise nursing/Neurological function/Compliance/Self care ability引用本文复制引用
基金项目
湖北省中医药管理局科研项目(2012Z—Y22)
出版年
2024
NETL
NSTL
万方数据