缺血性脑卒中康复护理中临床护理路径的应用效果

Application effect of clinical nursing path way in rehabilitation nursing of ischemic stroke

目的分析临床护理路径在缺血性脑卒中康复护理中的应用效果。方法选择2017年5月~2018年6月新疆医科大学第五附属医院神经内科接受缺血性脑卒中治疗的患者90例,采用随机抽签方式将患者分为观察组和对照组,每组各45例。对照组采用常规护理,观察组在对照组的基础上联合应用临床护理路径。比较护理前后两组简易精神状态检查量表(MMSE)评分、美国国立卫生研究院卒中量表(NIHSS)评分、生活自理能力量表(ADL)评分及两组患者对护理服务满意的情况。结果两组患者护理前MMSE、NIHSS、ADL评分比较,差异均无统计学意义(P> 0.05),护理后,两组MMSE、ADL评分均高于护理前,NIHSS评分低于护理前,且观察组MMSE、ADL评分高于对照组,NIHSS评分低于对照组,差异均有统计学意义(均P <0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P <0.05)。结论在缺血性脑卒中康复护理中应用临床护理路径能促进患者病情改善、提升患者自理能力,并进一步提高护理满意度,临床应用以及推广价值较高。

Objective To analyze the application effect of clinical nursing pathway in rehabilitation nursing of ischemic stroke. Methods A total of 90 patients who received ischemic stroke treatment in the Department of Neurology of The Fifth Affiliated Hospital of Xinjiang Medical University from May 2017 to June 2018 were selected. The patients were randomly divided into the observation group and the control group by random draw, with 45 patients in each group. The control group received routine nursing, and the observation group received combined clinical nursing pathway based on the control group. The scores of simple mental state examination scale(MMSE), national institutes of health stroke scale(NIHSS), activity of daily living(ADL) scale and satisfaction with nursing care were compared before and after nursing care between the two groups. Results There was no statistically significant difference in MMSE, NIHSS and ADL scores between the two groups before nursing(P > 0.05). After nursing, MMSE and ADL scores in the two groups were higher than before nursing, and NIHSS score was lower than before nursing, and MMSE and ADL scores in the observation group were higher than those in the control group, and NIHSS score was lower than those in the control group, with statistically significant differences(all P < 0.05). The total nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant(P < 0.05). Conclusion The application of clinical nursing pathway in rehabilitation nursing of ischemic stroke can promote the improvement of patients′ condition, improve their self-care ability, and further improve nursing satisfaction, clinical application and promotion value is high.