循证护理对脑卒中患者神经及认知功能的影响

Effect of evidence-based nursing on neurological and cognitive functions in stroke patients

目的研究循证护理对脑卒中患者神经及认知功能的影响。方法选取医院2016-10—2017-10收治的100例脑卒中患者,根据患者入院就诊的编号随机分组,将单号的50例患者纳入对照组,给予常规护理,将双号的50例患者纳入观察组,给予循证护理,观察比较2组患者护理后神经及认知功能的改善情况。结果2组患者护理前神经功能缺损评分量表(NIHSS)评分比较无明显差异(P>0.05),而护理后观察组NIHSS评分比对照组显著降低(P<0.05);2组患者护理前简易智能状态检查量表(MMSE)及神经行为认知状态检查量表(NCSE)评分比较无明显差异(P>0.05),护理后观察组各评分均显著高于对照组(P<0.05)。结论临床对脑卒中患者实施循证护理有助于提高其神经功能及认知功能,使其生活质量得到显著提升,临床应用价值较高。

Objective To study the effect of evidence-based nursing on neurological and cognitive function in patients with stroke.Methods A total of 100 stroke patients admitted to the hospital between October 2016 and October 2017 were selected for analysis.According to the number of patients admitted to hospital for randomization,50 patients with a single number were included in the control group,and routine nursing measures were given.50 patients with dual number were included in the observation group and evidence-based nursing measures were given.Observed and compared the improvement of neurological and cognitive function after nursing in both groups.Results There was no significant difference in pre-nursing neurological deficit scale(NIHSS)scores between the two groups(P>0.05),and the NIHSS score in the observation group after nursing was significantly lower than that in the control group(P<0.05);There was no significant difference in the scores of the former MMSE and NCSE scores(P>0.05).After nursing,the scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Evidence-based nursing for stroke patients is helpful to improve their neurological and cognitive functions,and their quality of life is significantly improved.Clinical application value is high and worthy of promotion.