循证护理对急性脑梗死患者神经功能缺损和运动能力的影响

Influence of evidence-based nursing on neurological deficit and exercise ability of patients with acute cerebral infarction

目的探讨循证护理对急性脑梗死患者神经功能缺损和运动能力的影响。方法选择本院收治的急性脑梗死患者70例,将其随机分为研究组和对照组,每组各35例,对照组患者给予常规护理,研究组患者给予循证护理,包括成立循证小组、提出循证问题、循证支持和应用等,观察护理干预前后两组患者NIHSS、FMA评分及Barthel指数改善情况。结果两组护理干预前NIHSS、FMA评分及Barthel指数差异无统计学意义(P>0.05);干预后,研究组NIHSS明显低于对照组,FMA评分及Barthel指数明显高于对照组,差异均有统计学意义(P<0.05)。结论循证护理干预可以有效改善急性脑梗死患者的日常生活能力和运动能力,有助于促进患者神经功能的康复。

Objective To investigate the influence of evidence-based nursing on neurological deficits and exercise ability of patients with acute cerebral infarction. Methods 70 patients with acute cerebral infarction were selected and randomly divided into study group and the control group,with 35 cases in each group.The control group was given rou- tine nursing,and the study group was given evidence-based nursing,which included the establishment of evidence- based group,made evidence issues,evidence and application support and so on;before and after nursing intervention,the improvement situation of NIHSS,FMA scores and Barthel index in the two groups were compared. Results Before the nursing intervention,the differences of NIHSS,FMA scores and Barthel index between the two groups were no statistically significant （P〉0.05）;while after the intervention,the NIHSS of study group were significantly lower than that of control group,and the FMA scores and Barthel index of the study group were significantly higher than those of control group,the differences were all statistically significant （P〈0.05）. Conclusion Evidence-based nursing interventions can effectively improve the activities of daily living and athletic ability of patients with acute cerebral infarction,and is help to promote patients＇ recovery of neurological function.