急性脑卒中患者应用院前院内医护一体化护理效果

Effect of Pre-hospital and In-hospital Integrated Nursing Care for Patients With Acute Stroke

目的观察分析院前院内医护一体化护理应用在老年急性脑卒中患者中的效果。方法选取本院(在2018年3月—2018年8月)收治的86例急性脑卒中老年患者,按照不同护理干预方法分为实验组(43例,应用院前院内医护一体化护理方法)和对照组(43例,应用常规护理方法)。采用统计学分析两组急性脑卒中老年患者的误吸率、并发症发生率(足下垂、足内翻、肩关节半脱位、关节挛缩以及尿路感染等)以及治疗前后日常生活能力评分和神经功能缺损程度评分。结果两组急性脑卒中老年患者治疗前日常生活能力评分和神经功能缺损程度评分比较差异无统计学意义(P>0.05),实验组急性脑卒中老年患者治疗后日常生活能力评分高于对照组、神经功能缺损程度评分低于对照组,差异有统计学意义(P<0.05);实验组急性脑卒中老年患者的误吸率以及肺部感染、肺水肿、胸-心综合征、肺栓塞、尿路感染等并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论院前院内医护一体化护理应用在老年急性脑卒中患者的效果显著,能够减少误吸和并发症的发生,并能够改善患者神经功能,值得推荐。

Objective To observe and analyze the effect of the pre-hospital and in-hospital integrated nursing in elderly patients with acute stroke.Methods 86 patients from March 2018 to August 2018 with acute stroke were divided into the experimental group(43 cases,was given the prehospital and in-hospital integrated nursing)and the control group(43 cases,was given the traditional nursing)according to different nursing methods.The rate of aspiration error,the incidence of complications(foot droop,foot varus,shoulder subluxation,joint contracture,urinary tract infection,etc)before and after treatment were statistically analyzed in the two groups,as well as the scores of ADL before and after treatment and neurological impairment score.Results There was no significant difference in the scores of ADL and neurological deficit between the two groups before treatment,P>0.05,the difference between the two groups was no statistically significant,but the scores of ADL in the experimental group were higher than those in the control group.The neurological deficit score was lower than that in the control group,P<0.05,the difference between the two groups was statistically significant.The false absorption rate in elderly patients with acute stroke in the experimental group and the incidence of complications such as pulmonary infection,pulmonary edema,chest-heart syndrome,pulmonary embolism,and urinary tract infection were significantly lower than those in the control group,P<0.05,the difference between the two groups was statistically significant.Conclusion The application of pre-hospital and in-hospital integrated nursing care is effective in elderly patients with acute stroke.It can reduce the false absorption rate,complications,and improve the neurological function of the patients.It is worthy to recommend.