急性脑梗死血管内介入治疗患者实施基于健康理念的全程护理的效果

Effect of whole-course nursing based on health concept in patients with acute cerebral infarction undergoing intravascular interventional therapy

目的探讨急性脑梗死血管内介入治疗患者实施基于健康理念的全程护理的效果。方法选取我院2015年7月1日至2016年7月1日收治的80例急性脑梗死血管内介入治疗患者作为研究对象,将其随机分为对照组(40例)和观察组(40例)。对照组实施常规护理,观察组给予基于健康理念的全程护理。比较两组护理满意度、神经功能缺失评分、遵医嘱行为情况及生活质量评分。结果观察组患者的护理满意度为97.50%,显著高于对照组的70.00%,差异具有统计学意义(P<0.05)。护理后,两组NFDS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。护理后,两组合理饮食、坚持锻炼、心理平衡及规律用药的患者占比均显著升高,且观察组合理饮食、心理平衡及规律用药的患者占比显著高于对照组(P<0.05)。护理后,两组患者躯体功能、心理功能、社会功能及物质生活评分均升高,且观察组高于对照组(P<0.05)。结论在急性脑梗死血管内介入治疗患者中实施基于健康理念的全程护理,可有效提高患者的护理满意度,改善患者神经功能缺损程度和生活质量,值得推广。

Objective To investigate the effect of the whole-course nursing based on health concept in patients with acute cerebral infarction undergoing intravascular interventional therapy. Methods Eighty patients with acute cerebral infarction treated by intravascular interventional therapy in our hospital from July 1, 2015 to July 1, 2016 were selected and randomly divided into control group(40 cases) and observation group(40 cases). The control group was given routine nursing, and the observation group was given whole-course nursing based on health concept. Nursing satisfaction,neurological function deficit score, compliance behavior and quality of life score were compared between the two groups.Results The nursing satisfaction of the observation group was 97.50%, which was significantly higher than 70.00% of the control group(P<0.05). After nursing, the NFDS score in the two groups decreased, and that of the observation group was lower than the control group, the difference was statistically significant(P<0.05). After nursing, the proportion of patients with reasonable diet, keep exercising, mental balance and regular medication in the two groups incerased, and the proportion of patients with reasonable diet, mental balance and regular medication in the observation group were significantly higher than those of the control group(P<0.05). After nursing, the scores of physical function, psychological function, social function and material life of the two groups increased, and those of the observation group were higher than the control group(P <0.05). Conclusion The whole-course nursing based on the health concept in patients with acute cerebral infarction treated by intravascular intervention therapy can effectively the patients’ nursing satisfaction, improve the degree of neurological function deficit and the quality of life, which is worth popularizing.