综合护理干预模式对缺血性脑卒中患者预后的影响

Influence of Comprehensive Nursing Intervention Model on the Prognosis of Patients with Ischemic Stroke

目的:探讨综合护理干预模式对缺血性脑卒中患者预后的影响。方法:选取2015年12月-2018年6月在厦门大学附属中山医院神经内科住院治疗的缺血性脑卒中患者560例,根据入院先后顺序将其分为研究组和对照组,每组280例。对照组采用常规护理,研究组在对照组基础上进行综合护理干预模式。比较两组住院时间、抑郁情况、NIHSS评分、mRS评分、HAMD评分、脑血管病二级预防依从性、脑卒中复发率。结果:研究组住院时间短于对照组,差异有统计学意义(P<0.05)。研究组出院后3个月、出院后1年NIHSS评分及mRS评分均优于对照组,差异有统计学意义(P<0.05)。研究组抑郁发生率低于对照组,差异有统计学意义(P<0.05)。研究组出院时、出院后3个月、出院后1年HAMD评分均低于对照组,差异有统计学意义(P<0.05)。研究组脑血管病二级预防依从性明显高于对照组,脑卒中复发率低于对照组,差异均有统计学意义(P<0.05)。结论:综合护理干预模式可改善缺血性脑卒中患者的预后,是提供医院的有效实践护理的一种模式,也是现在信息时代医患交流发展的一个新路径。

Objective:To explore the effect of comprehensive nursing intervention model on the prognosis of patients with ischemic stroke.Method:A total of 560 patients with ischemic stroke who were hospitalized in the neurology department of Zhongshan Hospital Affiliated to Xiamen University from December 2015 to June 2018 were selected.According to the sequence of admission,they were divided into the study group and the control group,with 280 patients in each group.The control group was given routine nursing,and the study group was given comprehensive nursing intervention model on the basis of the control group.The length of hospital stay,depression,NIHSS score,mRS score,HAMD score,compliance with secondary prevention of cerebrovascular disease and recurrence rate of stroke were compared between the two groups.Result:The length of hospital stay in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The NIHSS scores and mRS scores in the study group were better than those in the control group 3 months after discharge and 1 year after discharge,and the differences were statistically significant(P<0.05).The incidence of depression in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The HAMD scores of the study group were lower than those of the control group at discharge,3 months after discharge,and 1 year after discharge,and the differences were statistically significant(P<0.05).The compliance with secondary prevention of cerebrovascular disease of the study group was significantly higher than that of the control group,and the recurrence rate of stroke was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention model can improve the prognosis of patients with ischemic stroke,is a model to provide effective practical nursing in hospitals,and is also a new path for the development of doctor-patient communication in the information age.