中华灾害救援医学2024,Vol.11Issue(8) :984-987.DOI:10.13919/j.issn.2095-6274.ZHJY202407041

急性脑卒中后继发癫痫患者实施综合性护理干预的效果探讨

Exploring the Effectiveness of Comprehensive Nursing Interventions in Patients with Post-Stroke Epilepsy

杨延洁
中华灾害救援医学2024,Vol.11Issue(8) :984-987.DOI:10.13919/j.issn.2095-6274.ZHJY202407041

急性脑卒中后继发癫痫患者实施综合性护理干预的效果探讨

Exploring the Effectiveness of Comprehensive Nursing Interventions in Patients with Post-Stroke Epilepsy

杨延洁1
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作者信息

  • 1. 472000 河南三门峡,黄河三门峡医院神经重症监护病房
  • 折叠

摘要

目的 探索综合性护理干预对急性脑卒中患者癫痫发生情况及预后的影响.方法 选取2022年4月至2024年4月于黄河三门峡医院就诊的80例急性脑卒中患者,根据护理方案的不同分为试验组(综合护理干预)和对照组(常规护理干预),每组40例.比较两组的癫痫发生情况、神经功能、生活质量、满意度和不良反应.结果 试验组癫痫发生率显著低于对照组(P<0.05).干预前,两组患者神经功能和生活质量评分无显著差异(P>0.05);干预后,两组患者NIHSS评分均降低(P<0.001),BI评分和WHOQOL-BREF评分均升高(P<0.001);试验组干预后NIHSS评分低于对照组(P<0.001),BI评分和WHOQOL-BREF评分高于对照组(P<0.001);试验组并发症发生率显著低于对照组(P<0.05).结论 对于急性脑卒中患者采取综合性护理干预降低了继发性癫痫的发生率,有利于患者神经功能的恢复,促进了生活质量的改善,降低了不良反应的发生率,患者满意度较高.

Abstract

Objective To explore the impact of comprehensive nursing interventions on the incidence of ep-ilepsy and the prognosis in patients with acute stroke.Methods A total of 80 patients with acute stroke treated at Huanghe Sanmenxia Hospital from April 2022 to April 2024 were included in the study.They were divided into two groups based on the nursing intervention received:the experimental group(comprehensive nursing intervention)and the control group(conventional nursing intervention),with 40 patients in each group.The incidence of epilep-sy,neurological function,quality of life,patient satisfaction,and adverse reactions were compared between the two groups.Results The incidence of epilepsy in the experimental group was significantly lower than in the control group,with statistical significance(P<0.05).Prior to the intervention,there were no significant differences in neu-rological function and quality of life scores between the two groups(P>0.05).After the intervention,both groups showed a decrease in NIHSS scores(P<0.001)and an increase in BI scores and WHOQOL-BREF scores(P<0.001).The NIHSS scores in the experimental group were lower than those in the control group(P<0.001),while the BI and WHOQOL-BREF scores were higher in the experimental group(P<0.001).Patient satisfaction with nursing care in the experimental group was significantly higher than in the control group(P<0.05),and the incidence of complications was significantly lower in the experimental group(P<0.05).Conclusion Comprehensive nursing interventions reduce the incidence of secondary epilepsy in acute stroke patients,facilitate the recovery of neuro-logical function,improve quality of life,decrease the incidence of adverse reactions,and result in higher patient satisfaction.

关键词

护理/卒中/癫痫

Key words

nursing care/stroke/epilepsy

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基金项目

河南省医学科技攻关计划项目(LHGJ20200779)

出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
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