延续性护理干预对缺血性脑卒中患者认知功能及日常生活能力的影响

Effects of continuous nursing intervention on cognitive functions and ADL of patients with ischemic stroke

目的探讨延续性护理干预对缺血性脑卒中患者认知功能及日常生活能力的影响。方法选择2018年10月至2019年12月东莞市松山湖中心医院神经内科住院的缺血性脑卒中患者122例,随机分为对照组和观察组,每组各61例,对照组采用常规护理干预,观察组在常规护理基础上采用延续性护理干预。采用简易智能状态检查量表(MMSE)评分进行认知功能评估,采用改良Barthel指数(MBI)测量残疾和日常生活能力,进行满意度调查,对比分析两组认知功能,日常生活能力及满意度。结果出院后6个月,观察组MMSE评分、即刻记忆、注意力和计算力、回忆能力及语言能力明显高于对照组,差异有统计学意义(P<0.05)。出院前观察组MBI评分与对照组比较,差异无统计学意义(P>0.05)。与出院前比较,观察组和对照组出院后6个月MBI评分明显升高,差异有统计学意义(P<0.05)。观察组出院后6个月MBI评分明显高于对照组,差异有统计学意义(P<0.05)。观察组满意度明显高于对照组,差异有统计学意义(P<0.05)。结论对缺血性脑卒中患者实施延续性护理干预,可明显改善其预后认知功能,提高患者日常生活能力及护理满意度。

Objective To investigate the effects of continuous nursing intervention on cognitive functions and activities of daily living(ADL)of patients with ischemic stroke.Methods A total of 122 patients with ischemic stroke hospitalized in the Department of Neurology in Songshan Lake Central Hospital of Dongguan City from October 2018 to December 2019 were included and randomly divided into the control group and the observation group,with 61 cases in each group.The control group received conventional nursing intervention,while the observation group received continuous nursing intervention on the basis of conventional nursing.The scores of the Mini-mental State Examination(MMSE)Scale were used to assess the cognitive functions of patients,and the Modified Barthel Index(MBI)was used to measure the disability class and ADL of patients.In addition,satisfaction surveys were conducted,and the cognitive functions,ADL and satisfaction of the two groups were compared and analyzed.Results 6 months after discharge,the MMSE scores,immediate memory,attention and calculability,recall ability and language ability of the observation group were significantly higher than those of the control group,with statistically significant differences(P<0.05).There was no statistical difference between the observation group and the control group in the MBI scores before discharge(P>0.05).6 months after discharge,the MBI scores of the observation group and the control group were significantly higher than those before discharge,with statistically significant difference(P<0.05).The MBI scores in the observation group were significantly higher than those in the control group 6 months after discharge,with statistically significant difference(P<0.05).The satisfaction degree of the observation group was significantly higher than that of the control group,with statistically significant difference(P<0.05).Conclusion The implementation of continuous nursing intervention for patients with ischemic stroke can significantly improve their prognostic cognitive functions,and enhance their ADL and nursing satisfaction.