组织化护理模式在急性脑梗死溶栓治疗中的应用

Application of organized nursing mode in thrombolytic therapy for patients with acute cerebral infarction

目的探讨组织化护理模式在急性脑梗死溶栓治疗中的应用效果。方法 74例急性脑梗死患者随机分成观察组与对照组,各37例。2组均给予早期溶栓治疗,对照组常规护理,观察组结合组织化护理模式开展护理干预。对比2组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分和肌力评估结果。结果治疗后,2组NIHSS评分均较治疗前降低(P<0.05),且治疗后24 h和30时,观察组NIHSS评分显著低于对照组(P<0.01)。治疗后30 d,观察组肌力等级评估≥III级者25例(67.6%),对照组为19例(51.4%),差异有统计学意义(P<0.05)。结论急性脑梗死溶栓治疗患者护理过程中,组织化护理模式干预能有效促进患者神经功能恢复,改善肌力。

Objective To investigate the application of organized nursing mode in thrombo- lytic therapy for patients with acute cerebral infarction （ACI）. Methods A total of 74 ACI patients with thrombolytic therapy were randomly divided into the observation group and control group, with 37 cases in each group. The control group received conventional nursing care and the observation group was given intervention based on organized nursing model. The neurological function which assessed by national institutes of health stroke scale （NIHSS） and myodynamia before and after treatment were compared between two groups. Results The score of NIHSS were decreased in both of two groups 24 h and 30 days after treatment （P 〈 0.05 ）, and was significant lower in the observation group than those in the control group（ P 〈 0.01 ）. the number of patients with third or higher level of myodynamia assessment was 25 in the observation group and was 19 in the control group, with a significant differ- ence （P 〈 0.05）. Conclusion The application of organized nursing model can significantly improve rehabilitation of neurological function and myodynamia in AC1 parents after thrombolytic therapy.