安全护理在重症肌无力患者护理过程中的应用价值

Application Value of Safety Nursing in the Nursing Process of Patients with Myasthenia Gravis

目的探讨安全护理在重症肌无力患者护理过程中的应用价值。方法方便选取2018年2月—2019年2月该院收治的72例重症肌无力患者当作研究对象。根据护理模式的不同,将72例患者分为两组,各36例。对照组采取常规护理,研究组采取安全护理。观察并比较两组护理前后的生存质量评分及并发症发生情况。结果护理前,两组SF-36评分比较,差异无统计学意义(P>0.05);护理后,研究组的SF-36评分[躯体疼痛(65.25±4.36)分,生理职能(62.35±4.58)分,总体健康(56.27±5.57)分,活力(74.76±6.51)分,社会功能(75.64±5.72)分,情感职能(54.96±4.25)分,精神健康(76.64±8.56)分,生理功能(48.36±7.54)分]明显高于对照组的SF-36评分[躯体疼痛(42.13±3.17)分,生理职能(41.34±4.58)分,总体健康(39.62±4.69)分,活力(47.26±5.57)分,社会功能(41.49±5.31)分,情感职能(39.12±3.28)分,精神健康(56.35±7.52)分,生理功能(40.12±5.61)分],差异有统计学意义(t=6.285、6.635、6.482、6.128、8.663、8.318、6.689、6.342,P=0.035、0.024、0.029、0.041、0.012、0.014、0.021、0.032);研究组的并发症发生率13.89%明显低于对照组的并发症发生率33.33%,差异有统计学意义(χ2=8.521,P=0.013)。结论对重症肌无力患者实施安全护理,患者生存质量评分高,并发症低,有良好的应用价值,值得推广。

Objective To explore the application value of safety nursing in the nursing process of patients with myasthenia gravis.Methods Convenient selected seventy-two patients with myasthenia gravis in the hospital from February 2018 to February 2019 were selected as the study subjects.According to the different nursing modes,72 patients were divided into two groups,36 cases each.The control group received routine nursing,while the research group received safety nursing.To observe and compare the quality of life score and complications of the two groups before and after nursing.Results Before treatment,there was no statistically significant difference in the scores of SF-36 between the two groups(P>0.05).After nursing,the SF-36 score of the study group[somatic pain(65.25±4.36)points,physiological function(62.35±4.58)points Overall health(56.27±5.57)points,vitality(74.76±6.51)points,social function(75.64±5.72)points,emotional function(54.96±4.25)points,mental health(76.64±8.56)points,physiological function(48.36±7.54)points significantly higher than the control group's SF-36 score[somatic pain(42.13±3.17)]points,physiological functions(41.34±4.58)points,overall health(39.62±4.69)points,vitality(47.26±5.57)points,Social function(41.49±5.31)points,emotional function(39.12±3.28)points,mental health(56.35±7.52)points,physiological function(40.12±5.61)]points,the difference was statistically significant(t=6.285,6.635,6.482,6.128,8.663,8.318,6.689,6.342,P=0.035,0.024,0.029,0.041,0.012,0.014,0.021,0.032);the complication rate of the study group was 13.89%significantly lower than the complication rate of the control group 33.33%,the difference was statistically significant(χ2=8.521,P=0.013).Conclusion Safe nursing for patients with myasthenia gravis has high quality of life score and low complications.It has good application value and is worth popularizing.