首页|集束化护理结合预见性护理在行静脉溶栓治疗脑梗死患者中的应用效果

集束化护理结合预见性护理在行静脉溶栓治疗脑梗死患者中的应用效果

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目的 探讨给予行静脉溶栓治疗的脑梗死患者集束化护理结合预见性护理的应用效果。方法 以2021年5月至2023年1月在徐州医科大学附属医院行静脉溶栓治疗的120例脑梗死患者为研究对象,按抽签法分为对照组和观察组,各60例。对照组给予常规护理结合预见性护理,观察组给予集束化护理结合预见性护理。比较2组在干预前和干预1个月后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分和简易智力状态检查量表(MMSE)评分]、不良情绪[抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分]、生活质量[简明健康调查量表(SF-36)评分],以及干预期间的不良事件。结果 与干预前的NIHSS、MMSE、SDS、SAS和SF-36评分相比,2组在干预1个月后的上述评分均改善(P均<0。05);上述评分组间比较,均是观察组优于对照组(P均<0。05)。组间睡眠障碍、颅内出血和口腔出血等不良事件的总发生率经比较,观察组更低(P<0。05)。结论 集束化护理结合预见性护理能改善行静脉溶栓治疗脑梗死患者的神经功能、不良情绪和生活质量,降低不良事件发生率。
Application effect of cluster nursing combined with predictive nursing in cerebral infarction patients treated with intravenous thrombolysis
Objective To explore the application effect of cluster nursing combined with predictive nursing in the cerebral infarction patients undergoing intravenous thrombolysis.Methods A total of 120 patients with cerebral infarction who underwent intravenous thrombolysis at the Affiliated Hospital of Xuzhou Medical University from May 2021 to January 2023 were selected as the study subjects.They were divided into a control group and an observation group by lottery method,with 60 patients in each group.The control group carried out routine nursing combined with predictive nursing,while the observation group carried out cluster nursing combined with predictive nursing.The neurological function ( National Institutes of Health Stroke Scale[NIHSS]scores and Mini-Mental State Examination[MMSE]scores),negative emotions ( Self-Rating Depression Scale[SDS]scores and Self-Rating Anxiety Scale[SAS]scores ),quality of life ( Short Form-36 Health Survey[SF-36]scores),as well as the adverse events during intervention of the two groups were compared before and after 1 month of intervention.Results Compared with the NIHSS,MMSE,SDS,SAS,and SF-36 scores before intervention,these scores in both groups improved after 1 month of intervention ( all P<0.05).When comparing the above scores between the two groups,the observation group performed better than the control group (all P<0.05).When comparing the overall incidence of adverse events such as sleep disorders,intracranial hemorrhage,and oral hemorrhage between the two groups,the observation group was lower ( P<0.05 ).Conclusion Cluster nursing combined with predictive nursing can improve the neurological function,negative emotions,and quality of life of cerebral infarction patients treated with intravenous thrombolysis,and reduce the incidence of adverse events.

cerebral infarctionintravenous thrombolysiscluster nursingpredictive nursingneurological function

王慧、刘君君、钟安丽、韩洪乐、董思斯、张艳

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徐州医科大学附属医院,江苏 徐州,221002

脑梗死 静脉溶栓 集束化护理 预见性护理 神经功能

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(11)