护理风险管理对急性脑梗死早期血管介入治疗患者预后干预研究

Effect of nursing risk management on prognosis of patients with acute cerebral infarction treated with early vascular intervention

目的:探讨护理风险管理对急性脑梗死早期血管介入治疗患者并发症、护理风险及预后的影响。方法:100例急性脑梗死早期血管介入治疗患者按照不同护理方式分为对照组和干预组,每组各50例。对照组采用常规护理模式,干预组采用护理风险管理。比较两组患者并发症发生率、死亡率、护理风险不良发生率、再住院率,并评估患者神经功能缺损程度、认知功能、术后残障程度、运动功能和生活质量。结果:干预组并发症及死亡总发生率、护理风险不良和再住院总发生率低于对照组(P<0.05);干预后,干预组的MoCA、FMA和BI评分高于对照组,NIHSS评分和改良Rankin评分低于对照组的(P<0.05)。结论:应用护理风险管理干预急性脑梗死早期血管介入患者,有效能降低患者并发症和护理风险的发生率,并改善患者预后。

Objective:Applying nursing risk management to carry out nursing intervention management for patients with early vascular intervention in acute cerebral infarction,to observe the impact on patient complications and nursing risk,and to evaluate the prognosis of patients.Methods:100 patients with early vascular interventional therapy for acute cerebral infarction were randomly divided into control group and intervention group,50 cases in each group.The control group adopted conventional nursing mode and the intervention group adopted nursing risk management.The complications,death,poor nursing risk,and rehospitalization results of two groups were observed,and the degree of neurological impairment,cognitive function,postoperative disability,motor function and quality of life were evaluated.Results:The total incidence of complications and deaths,poor nursing risk and rehospitalization in the intervention group were lower than those of the control group(P<0.05).After the intervention,the MoCA,FMA and BI scores of the intervention group were higher than those of the control group,NIHSS score and the modified Rankin score of the intervention group were lower than those of the control group(P<0.05).Conclusion:Applying nursing risk management to intervene patients with early vascular intervention in acute cerebral infarction,can significantly reduce the incidence of complications and nursing risks,and improve patient prognosis.