脑梗塞患者应用优质护理措施对自理能力与预后的改善作用

The Improvement of Self-care Ability and Prognosis of Patients with Cerebral Infarction Using High-quality Nursing Measures

目的分析在脑梗塞患者中应用优质护理措施对自理能力和预后的改善作用。方法将2019年2月-2020年4月该院医治的90例脑梗塞患者随机设为两个组别,给予对照组(45例)常规护理,给予实验组(45例)优质护理。调查两组患者护理前后神经缺损功能、认知功能、生活自理能力和运动功能,评价生活质量和并发症情况。结果治疗后对比,实验组MMSE评分(28.47±3.47)分高于对照组(23.41±3.41)分,差异有统计学意义(t=6.977,P<0.001);实验组Barthel指数(82.48±6.04)分高于对照组(73.69±5.47)分,差异有统计学意义(t=7.236,P<0.001);实验组FMA评分(59.47±11.64)分高于对照组(45.39±12.58)分,差异有统计学意义(t=5.511,P<0.001);实验组NIHSS评分(10.03±2.14)分低于对照组(13.59±3.05)分,差异有统计学意义(t=6.410,P<0.001)。实验组治疗后生活质量各维度评分相较对照组均明显更高,两组差异有统计学意义(P<0.05)。对比两组患者并发症总发生率,实验组(4.44%)相较对照组(22.22%)更低,差异有统计学意义(χ^2=6.154,P=0.013)。结论优质护理应用于脑梗塞患者中,能够改善神经功能和认知功能,提高自理能力和运动功能,提升生活质量,降低并发症风险。

Objective To analyze the effect of applying high-quality nursing measures on self-care ability and prognosis in patients with cerebral infarction.Methods Ninety patients with cerebral infarction treated in the hospital were randomly divided into two groups from February 2019 to April 2020.The control group(45 cases)was given routine care and the experimental group(45 cases)was given high-quality care.Investigate the neurological deficit function,cognitive function,self-care ability and motor function of the two groups of patients before and after nursing,and evaluate the quality of life and complications.Results After treatment,the MMSE score of the experimental group(28.47±3.47)points was higher than that of the control group(23.41±3.41)points,the difference was statistically significant(t=6.977,P<0.001);the Barthel index(82.48±6.04)points of the experimental group was higher than the control group(73.69±5.47)points,the difference was statistically significant(t=7.236,P<0.001);the FMA score(59.47±11.64)points of the experimental group was higher than the control group(45.39±12.58)points,the difference was statistically significant(t=5.511,P<0.001);the experimental group of the score of NIHSS(10.03±2.14)points was lower than that of the control group(13.59±3.05)points,the difference was statistically significant(t=6.410,P<0.001).The scores of all dimensions of the quality of life of the experimental group after treatment were significantly higher than those of the control group,and there were statistical statistically differences between the two groups(P<0.05).Compared the total incidence of complications between the two groups,the experimental group(4.44%)was lower than the control group(22.22%),the difference was statistically significant(χ^2=6.154,P=0.013).Conclusion The application of high-quality nursing care to patients with cerebral infarction can improve neurological and cognitive functions,improve self-care ability and motor function,improve the quality of life,and reduce the risk of complications.