护理干预对脑梗塞患者的临床应用价值分析

Nursing intervention on patients with cerebral infarction clinical value analysis

目的探讨护理干预对脑梗塞患者的临床应用价值。方法选取2018年1月-2019年1月在我院因脑梗塞住院治疗的患者400例,随机选取200例患者作为观察组,余下200例患者作为对照组,观察组患者采用心理指导,呼吸道护理,饮食干预,康复护理,健康教育等护理干预,对照组采用常规护理方法,比较两组患者的神经功能缺损评分(NIHSS)与Fugl-Meyer运动功能评定法(FMA)。结果在进行护理干预前,两组患者NIHSS评分及FMA评分比较均无统计学差异(P>0.05);在进行护理干预后,两组患者NIHSS评分有统计学差异(t=106.44,P<0.001)两组患者FMA评分有统计学差异(t=51.05,P<0.001);观察组患者对护理满意度为99.5,其中非常满意153人,满意27人,一般19人;对照组患者对护理满意度为82.5%,其中非常满意120人,满意15人,一般30人,将两组患者的总体满意度进行统计学分析比较,差异有统计学意义(U=24.345,P<0.001)结论在临床治疗中辅以干预性护理,可以有效改善患者的神经功能恢复,促进身体运动功能康复,可在临床中广泛推广。

Objective To explore the clinical value of nursing intervention in patients with cerebral infarction. Methods A total of 400 patients hospitalized for cerebral infarction in our hospital from January 2018 to January 2019 were enrolled. 200 patients were randomly selected as the observation group, and the remaining 200 patients were used as the control group. The observation group used psychological guidance, respiratory care, dietary intervention, rehabilitation nursing, health education and other nursing interventions, the control group used conventional nursing methods to compare the neurological deficit score (NIHSS) and Fugl-Meyer motor function assessment (FMA). Results Before the nursing intervention, there was no statistical difference in NIHSS scores and FMA scores between the two groups ( P >0.05). After the nursing intervention , the NIHSS scores of the two groups were statistically different ( t =106.44, P< 0.001). The FMA scores of the two groups were statistically different ( t =51.05, P <0.001). The satisfaction of the patients in the observation group was 100%, of which 153 were very satisfied, 27 were satisfied, and 20 were generally;the satisfaction of the control group was 82.5%, of which 120 were very satisfied, 15 were satisfied, and 30 were generally. The overall satisfaction of the two groups of patients was statistically compared and the difference was statistically significant( U =24.345, P <0.001). Conclusion Interventional nursing in clinical treatment may effectively improve the recovery of neurological function and promote the recovery of physical motor function.It should be widely promoted in the clinic.