人性化护理干预对脑梗死后认知功能障碍的临床疗效观察

Clinical Observation of Humanistic Nursing Intervention on Cognitive Dysfunction after Cerebral Infarction

目的探讨人性化护理干预对脑梗死后认知功能障碍的临床疗效。方法选取我院(2015年1月至2017年1月)收治的130例脑梗死后认知功能障碍患者,根据不同护理方法分为两组,观察组(n=65)给予人性化护理,对照组(n=65)给予常规护理,对比两组患者临床疗效和护理前后神经功能缺损情况、日常生活能力、认知能力以及疾病复发率。结果两组患者临床疗效93.85%vs84.62%对比差异明显,观察组显著高于对照组,具有统计学意义(P<0.05)。护理后两组患者NIHSS评分均明显改善,但观察组患者改善更为明显,差异具有统计学意义(P<0.05)。护理后两组患者MMSE和ADL评分均明显改善,但观察组患者改善更为明显,差异具有统计学意义(P<0.05)。两组患者疾病复发率7.69%vs24.62%对比差异明显,具有统计学意义(P<0.05)。结论人性化护理对脑梗死患者不仅具有良好的效果,还能有效预防疾病复发,因此值得临床推广。

Objective To explore the clinical effect of humanized nursing intervention on cognitive dysfunction after cerebral infarction.Methods 130 patients with cognitive impairment after cerebral infarction in our hospital(January 2015 to January 2017)were selected and divided into two groups according to different nursing methods.The observation group(n=65)was given humanized nursing and the control group(n=65)was given routine nursing.The clinical efficacy and neurological deficits before and after nursing were compared between the two groups.Activities of daily living,cognitive ability and disease recurrence rate.Results The clinical curative effect of the two groups was 93.85%vs 84.62%.The observation group was significantly higher than the control group,with statistical significance(P<0.05).After nursing,the NIHSS scores of the two groups were significantly improved,but the improvement of the observation group was more obvious,the difference was statistically significant(P<0.05).After nursing,the scores of MMSE and ADL in the two groups were significantly improved,but in the observation group,the improvement was more obvious,the difference was statistically significant(P<0.05).The recurrence rate of 7.69%vs24.62%between the two groups was significantly different from that of the control group(P<0.05).Conclusion Humanized nursing not only has a good effect on patients with cerebral infarction,but also can effectively prevent the recurrence of disease,so it is worthy of clinical promotion.