Application of brain-heart health management model in patients with acute large artery occlusive cerebral infarction and vascular recanalization
Objective To explore the application effect of brain-heart health management model in patients with acute large artery occlusive cerebral infarction and vascular recanalization.Methods From July 2021 to June 2023,130 patients with acute large artery occlusive cerebral infarction and vascular recanalization who were treated in the Department of Neurology,the Seventh Affiliated Hospital of Guangxi Medical University were selected and divided into two groups with 65 cases in each group by digital random table method.The control group received routine nursing intervention,while the observation group received a brain-heart health management model including professional brain-heart health manager's whole-course intervention before and after operation and secondary preventive measures on the basis of the control group.The complications during hospitalization and the recurrence within 6 months after discharge of the two groups were counted,and the differences between the two groups were compared,including the National Institutes of Health Stroke Scale(NIHSS)score,modified Rankin scale(mRS)score,assessment of daily living ability,modified Barthel Index(BI)and morisky medication adherence scale-8(MMAS-8)score.Results The incidence of complications in the observation group was 3.08％,which was significantly lower than that in the control group(12.31％),with statistically significant difference(P＜0.05).Compared with the control group,there were significant differences in the implementation rate of preoperative measures,postoperative measures,health education and overall measures in the observation group,with statistically significant difference(P＜0.05).In addition,at the time of discharge and 1,3 and 6 months after discharge,the scores of NIHSS,mRS,assessment of daily living ability,modified BI and MMAS-8 in the observation group were higher than those in the control group,and the difference was statistically significant(P＜0.05).Moreover,within 6 months after discharge,the recurrence rate in the observation group was 4.62％,which was significantly lower than that in the control group(15.38％),with statistically significant difference(P＜0.05).Conclusion The results of this research show that the application of brain-heart health management model can effectively promote the recovery of neurological function of patients with acute large artery occlusive cerebral infarction and vascular recanalization,improve their daily living ability and medication compliance,improve their prognosis,reduce the incidence of complications in hospitalization units and the recurrence rate in discharge units,and enhance nursing satisfaction.
Acute large artery occlusive cerebral infarctionVascular recanalizationBrain-heart health managerNeurological functionPrognosis
国家科技期刊平台
NSTL
万方数据
