优质护理干预对静脉溶栓老年性脑梗死的应用效果

The Effect of High Quality Nursing Intervention on Senile Cerebral Infarction of Intravenous Thrombolysis

目的:探讨优质护理干预对静脉溶栓老年性脑梗死的应用效果。方法:收集44例经静脉溶栓治疗的老年性脑梗死患者为研究对象,随机分为对照组和干预组,各22例。对照组实施常规护理;干预组实施优质护理,通过比较两组患者NIHSS评分、Barthel指数和有效率,来判断优质护理干预对静脉溶栓老年性脑梗的应用效果。结果:比较两组患者的NIHSS评分发现,治疗前两组患者的NIHSS评分比较,差异无统计学意义(P>0.05),但干预组在治疗后1 d、7 d、14 d后的NIHSS评分明显低于对照组,且差异具有统计学意义(P<0.05);治疗前,两组患者的Barthel指数比较,差异无统计学意义(P>0.05),但干预组在治疗后1 d、7 d、14 d后的Barthel指数明显高于对照组,差异有统计学意义(P<0.05);且干预组的总体有效率和效果显著率明显高于对照组,差异均具有统计学意义(P<0.05)。结论:优质护理可以降低溶栓治疗后脑梗死患者的神经功能损伤,提高其自主生活的能力,也可以提高治疗的有效率。

Objective To study the effect of high quality nursing intervention on senile cerebral infarction of intravenous thrombolysis. Method Forty-four patients with senile cerebral infarction treated by intravenous thrombolysis were enrolled in this study. They were randomly divided into control group and intervention group,22 case in each group. The control group received routine mursing,while the intervention group received high quality nursing comprison of NIHSS score,Barthel index and the effective rate between the two groups. The effect of high quality nursing intervention on the senile cerebral infarction was analyzed by comparing the two groups. Results The NIHSS scores of the two groups were not significantly different between the two groups（ P〉0. 05）,but the NIHSS score of the intervention group at 1 day,7 days and 14 days after treatment was significantly lower than that of the control group（ P〈0. 05）. The Barthel index of the two groups was not significantly different between the two groups before treatment（ P〈0. 05）. However,the Barthel index of the intervention group at 1 day,7 days and 14 days after treatment was significantly higher（ P〈0. 05）. The overall effective rate and the effective rate of the intervention group were significantly higher than the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion High-quality nursing can reduce the neurological impairment of patients with cerebral infarction after thrombolytic therapy,improve their ability to live independently,and improve the efficiency of treatment.