“三期十步法”对急性脑梗死临床预后的护理评价

Nursing evaluation of three phases and ten steps method in clinical prognosis of patients with acute cerebral infarction

目的评价三期十步法在急性脑梗死患者临床护理中的效果。方法纳入急性脑梗死住院患者127例作为研究对象,随机分为干预组62例和对照组65例,按照神经内科急性脑梗死临床路径,干预组的受试者在常规护理的基础上实施"三期十步法",而对照组仅施行常规护理。采用神经功能缺损评分(NIHSS)和日常生活活动能力量表(BI)评估脑卒中患者神经功能和日常生活能力状况;采用改良的Rankin量表(mRS)来评估脑卒患者中出院后的生活质量情况。结果 2组NIHSS、BI量表评分分别在入院第7天及出院时均有统计学差异(P<0.05);在出院时、随访出院后30天时2组的mRS量表评分亦有差异(P<0.05)。结论通过"三期十步法",提高急性脑梗死患者神经功能和日常生活能力。

Objective To explore the effect of three phases and ten steps method on nursing of patients with acute cerebral infarction. Methods A total of 127 hospitalized patients with acute cerebral infarction were selected and randomly divided into intervention group（ n = 62） and control group（ n = 65）. According to acute cerebral infarction clinical pathway in department of neurology,the intervention group was given three phases and ten steps method on the basis of conventional nursing,while the control group was only given routine nursing. Neurological function of stroke patients were evaluated by the National Institutes of Health Stroke Scale（ NIHSS） and the status of daily activities were assessed by Barthel Index（ BI）. The modified Rankin scale（ mRS） was used to assess living quality of stroke patients after discharge. Results On the seventh day and at discharge,there were significant differences of the NIHSS score and the mRS score between the two groups（ P〈0. 05）. At discharge and 30 days after hospital discharge,there were significant differences of the mRS score between two groups（ P〈0. 05）. Conclusion Three phases and ten steps method can improve neurological function and daily life ability in patients with acute cerebral infarction.