责任制护理干预用于缺血性脑血管病患者的护理效果

Nursing efficacy of responsibility nursing intervention in treatment of ischemic cerebrovascular disease

目的探讨责任制护理干预用于缺血性脑血管病患者的护理效果。方法选择84例行介入治疗的缺血性脑血管患者按随机数字表法分为观察组和对照组,各42例。观察组采用责任制护理干预,对照组采用常规护理措施,比较2组临床情况、简明精神状态检查量表评分(MMSE)、临时痴呆评定量表评分(CDR)、血压(Bp)、c-反应蛋白(CRP)、胆固醇(CH)、颈动脉内-肿膜厚度(C-IMT)、甘油三酯(TG)、并发症及满意度。结果观察组住院用时及治疗费用低于对照组,用药依从性高于对照组(P<0.05);治疗后,观察组MMSE为(29.24±4.43)分,高于对照组的(24.61±3.55)分(P<0.05),且观察组CDR为(1.57±0.22)分,低于对照组的(1.88±0.36)分(P<0.05);2组Bp、CRP、CH、C-IMT及TG水平均有所下降,且观察组各生理指标均显著低于对照组(P<0.05);观察组并发症发生率为4.76%,低于对照组的21.43%(P<0.05);观察组满意度97.62%,高于对照组的73.81%(P<0.05)。结论责任制护理干预可显著提升护理效果,提高患者用药依从性,改善患者认知功能及生理指标,降低并发症发生率,值得推广应用。

Objective To study nursing efficacy of responsibility nursing intervention in treatment of ischemic cerebrovascular disease. Methods A total of 84 patients with ischemic cerebrovascular disease were selected as research objects, and were divided into the observation group and the control group according to random number table method, with 42 cases per group, all patients underwent interventional therapy. The observation group was given responsibility nursing intervention, while the control group was given routine nursing intervention. The clinical situation, metal state examination scale （ MMSE ）, dementia rating scale （ CDR）, blood pressure （ Bp ）, c-reactive protein （ CRP）, cholesterol （ CH）, Carotid artery-intima media thickness （ C-IMT）, triglyceride （ TG）, complication and satisfaction were compared. Results The hospitalization time and the treatment cost in the observation group were significantly lower than that in the control group, and the compliance was significantly higher than that in the control group （ P 〈 0.05 ） ; After treatment, MMSE and CDR in the observation group were lower than that in the control groups （P 〈 0.05 ） ; The levels of Bp, CRP, CH, C-IMT and TG were decreased in the two groups, but the physiological indexes of the observation group were significantly lower than that of the control group （P 〈 0.05） ; The incidence of complications in the observation group was lower than that in the control group （ P 〈 0.05 ） ; The satisfaction of the observation group was significantly higher than that of the control group （P 〈 0.05 ）. Conclusion Responsibility nursing intervention can significantly improve the nursing effect, compliance, cognitive function and physiological indicators, and reduce the incidence of complications, and it is worthy of application promotion.