IMB模型联合延续性护理对脑梗死桥接术后患者神经功能恢复、下肢功能及并发症的影响

Effects of IMB Model Combined with Continuous Nursing on Neurological Function Recovery,Lower Limb Function and Complications in Patients with Cerebral Infarction Treated by Bridging

【目的】探讨信息-动机-行为技巧(IMB)模型联合延续性护理对脑梗死桥接术后患者神经功能恢复、下肢功能及并发症的影响。【方法】选取2015年1月至2018年10月在青海大学附属医院及青海省人民医院诊治的90例脑梗死桥接术后患者,按照随机数表法分为观察组和对照组,对照组采用常规延续性护理措施,观察组采用IMB模型联合延续性护理措施,比较两组患者神经功能恢复、下肢功能、世界卫生组织生存质量测定量表(WHO-QOL-100)评分、并发症及护理满意度。【结果】观察组护理后神经功能缺损评分(NIHSS)显著低于对照组(P<0.05);护理后1个月及3个月观察组Fugl-Meyer评分均显著高于对照组(P<0.05);护理后两组患者WHO-QOL-100量表各项评分均较护理前高,且观察组显著高于对照组(P<0.05);观察组总并发症发生率为11.11%(5/45),显著低于对照组的31.11%(14/45)(P<0.05);观察组护理满意度为95.56%(43/45),明显高于对照组的77.78%(35/45)(P<0.05)。【结论】IMB模型联合延续性护理用于脑梗死桥接术后患者,有利于神经功能及下肢功能恢复,减少并发症,提高生存质量,值得临床推广应用。

【Objective】To explore the effects of information-motivation-behavioral skills(IMB)model combined with continuous nursing on neurological function recovery,lower limb function,and complications in parents with cerebral infarction treated by bridging.【Methods】A total of 90 patients with cerebral infarction treated by bridging from January 2015 to October 2018 were randomly divided into the observation group and the control group.Patients in the control group received routine continuing nursing measures,while patients in the observation group were given IMB model combined with continuing nursing measures.Neurological function recovery,lower limb function,WHO Quality of Life Brief Scale(WHO-QOL-100),complications and nursing satisfaction were observed and compared in the two groups.【Results】After nursing,the N1H Stroke Scale(NIHSS)of the observa-tion group was lower than that of the control group(P<0.05).The Fugl-Meyer scores of the observation group were higher than those of the control group at one month and three months after nursing(P<0.05).The scores of WHO-QOL-100 scale in the two groups after nursing were higher than those before nursing,and changes in the.observation group were higher than those in the control group(P<0.05).The incidence of total complications in the observation group was 11.11%(5/45),which was lower than 31.11%(14/45)in the control group(P<0.05).The nursing satisfaction rate of the observation group was 95.56%(43/45),which was significantly higher than 77.78%(35/45)of the control group(P〈0.05).【Conclusion】IMB model combined with continuing nursing is beneficial to the recoveries of nerve and lower limb function,reduces complications and improves the quality of life in patients with cerebral infarction bridging surgery.It is worthy of clinical application.