优质护理干预对脑栓塞后神经功能康复的影响评价

Evaluation of the Effect of High-quality Nursing Intervention on Neur-ological Rehabilitation after Cerebral Embolism

目的研究脑栓塞患者实施优质护理干预形式的效果及影响。方法选择2016年11月—2017年11月70例于该院接受脑栓塞治疗的患者,根据患者入院时间将其分为研究组与参照组,每组35例。其中参照组采用常规护理模式,研究组行优质护理干预形式,对比两组患者护理前后相关功能评分、护理后生活质量评分及护理满意度。结果护理前两组患者相关功能评分差异无统计学意义(P>0.05),护理后研究组神经功能评分(11.38±3.69)分、抑郁评分(35.02±3.55)分均低于参照组神经功能评分(17.25±4.57)分、抑郁评分(41.15±5.34)分,研究组运动功能评分(56.02±10.54)分明显高于参照组运动功能评分(47.66±11.27)分,差异有统计学意义(t=5.912、5.656、3.205,P<0.05)。研究组身体机能(42.59±3.85)分、情绪状态(43.16±3.61)分、社会功能(42.51±3.77)分、活力(42.09±3.94)分等生活质量评分均高于参照组身体机能(38.65±5.04)分、情绪状态(37.26±5.18)分、社会功能(37.68±5.14)分、活力(37.16±5.35)分等生活质量评分,差异有统计学意义(t=3.675、5.528、4.483、4.390,P<0.05)。与参照组(74.29%)相比,研究组脑栓塞护理满意度(94.29%)较高,差异有统计学意义(χ2=5.285,P<0.05)。结论给予脑梗塞患者实施优质护理干预,能够改善患者的神经功能康复效果,提升患者的生活质量,应予以临床推广。

Objective To study the effect and influence of implementing high-quality nursing intervention in patients with cerebral embolism.Methods From November 2016 to November 2017,70 patients who were treated for cerebral embolism in this hospital were selected,and they were divided into study group and reference group according to the time of admission to the hospital,with 35 cases in each group.Among them,the reference group adopted the conventional nursing model,and the study group adopted the form of high-quality nursing intervention,and comparing the two groups of patients before and after nursing related function scores,quality of life scores after nursing and nursing satisfaction.Results There was no statistically significant difference in the related function scores of the two groups before nursing(P>0.05).After nursing,the neurological function score(11.38±3.69)points and depression score(35.02±3.55)points of the study group were lower than those of the reference group(17.25±4.57)points,depression score(41.15±5.34)points,the motor function score of the study group(56.02±10.54)points was significantly higher than the reference group motor function score(47.66±11.27)points,the difference was statistically significant(t=5.912,5.656,3.205,P<0.05).The physical function(42.59±3.85)points,emotional state(43.16±3.61)points,social function(42.51±3.77)points,vitality(42.09±3.94)points and other quality of life scores of the study group were higher than those of the reference group physical function(38.65±5.04)points,emotion quality of life scores such as status(37.26±5.18)points,social function(37.68±5.14)points and vitality(37.16±5.35)points,the different were statistically significant(t=3.675,5.528,4.483,4.390,P<0.05).Compared with the reference group(74.29%),the study group had higher satisfaction with cerebral embolism care(94.29%),the difference was statistically significant(χ2=5.285,P<0.05).Conclusion The implementation of high-quality nursing interventions for patients with cerebral infarction can improve the patient's neurological rehabilitation effect and improve the patient's quality of life.It should be clinically promoted.