首页|以质量控制为导向的干预模式对急性脑梗死介入术后神经功能及并发症的影响

以质量控制为导向的干预模式对急性脑梗死介入术后神经功能及并发症的影响

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目的:探究以质量控制为导向的干预模式对急性脑梗死(ACI)介入术后神经功能及并发症的影响。方法:选择 2021 年 5 月—2023 年 9 月莆田学院附属医院接收的 86 例ACI患者作为研究对象,以随机数表法将患者分为对照组与观察组,各 43 例。对照组接受常规干预模式,观察组在对照组基础上接受以质量控制为导向的干预模式,两组均干预至患者出院。比较两组干预前后神经功能[改良爱丁堡-斯堪的纳维亚评分(MESSS)、美国国立卫生院卒中量表(NIHSS)]、术后并发症发生情况及护理满意度。结果:干预后,两组MESSS评分、NIHSS评分均下降,且观察组较对照组低,差异有统计学意义(P<0。05);与对照组相比,观察组术后并发症发生率更低,护理满意度更高,差异有统计学意义(P<0。05)。结论:以质量控制为导向的干预模式应用于ACI介入术中,能改善患者神经功能,降低并发症风险,提高患者护理满意度。
Impact of Quality Control Oriented Intervention Mode on Postoperative Neurological Function and Complications after Interventional Surgery for Acute Cerebral Infarction
Objective:To explore the impact of quality control oriented intervention model on postoperative neurological function and complications after interventional surgery for acute cerebral infarction(ACI).Method:A total of 86 ACI patients who admitted to Affiliated Hospital of Putian University from May 2021 to September 2023 were selected as the study objects,they were randomly divided into the control group and the observation group according to random number table method,with 43 cases in each group.The control group received routine intervention mode,and the observation group received quality control oriented intervention model on the basis of the control group,two groups were intervened until the patients discharged.The neurological function[modified Edinburgh-Scandinavia scale(MESSS),National Institutes of Health stroke scale(NIHSS)]before and after intervention,postoperative complications and nursing satisfaction were compared between two groups.Result:After intervention,the MESSS scores and NIHSS scores of two groups were decreased,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);compared with the control group,the observation group had a lower incidence of postoperative complications and higher nursing satisfaction,the differences were statistically significant(P<0.05).Conclusion:The application of the quality control oriented intervention model in ACI intervention can improve patient neurological function,reduce the risk of postoperative complications,and increase patients'nursing satisfaction.

Acute cerebral infarctionQuality controlNeurological functionComplications

郑碧娟

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莆田学院附属医院 福建 莆田 351100

急性脑梗死 质量控制 神经功能 并发症

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)