基于需要层次理论的干预模式联合延续性护理对缺血性脑卒中患者的影响

Effects of Interventions Based on Maslow′s Hierarchy of Needs Theory Integrated with Extended Care in Patients with Ischemic Stroke

目的:探讨基于需要层次理论的干预模式联合延续性护理对缺血性脑卒中患者的影响。方法:将150例缺血性脑卒中患者随机分为对照组和观察组各75例,对照组采用常规护理和延续性护理模式,观察组在对照组基础上实施基于需要层次理论的干预模式。比较两组患者临床疗效,脑卒中量表评分(NIHSS)、生活质量评分(SS-QOL)、运动功能评分(Fugl-Meyer)。结果:观察组患者意识恢复时间、肢体恢复时间以及出院时间均短于对照组(P<0.05);2个月后两组患者NIHSS评分明显降低(P<0.05),SS-QOL和Fuyl-Meyer评分明显高于护理前(P<0.05),且观察组患者NIHSS评分低于对照组,SS-QOL和Fuyl-Meyer评分高于对照组(P<0.05)。结论:对缺血性脑卒中患者采用基于需要层次理论的干预模式联合延续性护理,能显著改善患者神经功能和运动功能,促进其病情恢复,提高患者生活质量。

Objective:To explore the effects of intervention based on Maslow′s hierarchy of needs theory integrated with extended care in patients with ischemic stroke.Methods:150 cases of patients with ischemic stroke were randomly divided into experimental group and control group,75 cases each group.The control group received routine nursing and the extended care,the experimental group received interventions using the concept of Maslow′s hierarchy of needs on the basis of control group.Clinical outcomes,the National Institutes of Health Stroke Scale(NIHSS),the Stroke Specific Quality of Life Scale(SS-QOL)and Fuyl-Meyer scores were compared between the two groups.Results:Patients′consciousness recovery time,motor function recovery time and discharge time in the experimental group were significantly shorter than those in the control group(P<0.05).The NIHSS scores of patients in both two groups were significantly lower after two months(P<0.05),and SS-QOL scores and Fuyl-Meyer scores were significantly higher than before(P<0.05).Patients in the experimental group had lower NIHSS,higher SS-QOL scores and Fuyl-Meyer scores than those in the control group(P<0.05).Conclusion:Interventions based on Maslow′s hierarchy of needs theory integrated with extended care could promote motor function recovery and sciatic nerve function of patients with ischemic stroke,and improve their quality of life.