不同护理模式在短暂性脑缺血反复发作患者中的护理作用比照分析

Comparative Analysis of the Nursing Effect of Different Nursing Modes in Patients with Recurrent Transient Ischemic Attacks

目的分析短暂性脑缺血发作(TIA)患者采取不同护理模式的效果。方法便利选择2018年7月—2020年7月收治的64例反复性TIA患者。以抽签法为准,A组33例,予以人性化护理;B组31例,予以常规化护理。对比护理作用。结果护理后,A组的发作频率为(1.57±0.09)次/月,B组为(3.27±0.23)次/月,差异有统计学意义(t=39.387,P<0.001);A组的发作时长为(1.59±0.12)min,B组为(3.86±0.24)min,差异有统计学意义(t=48.302,P<0.001)。A组护理后的各项血脂水平相较于B组降低,差异有统计学意义(P<0.05)。A组计入完全依从20例(60.61%),一般依从12例(36.36%),不依从1例(3.03%),依从性为96.97%;B组分别为14例(45.16%),10例(32.26%),7例(22.58%),依从性为77.42%,差异有统计学意义(χ^(2)=3.941,P=0.047)。A组护理后的各项舒适度评分相较于B组升高,差异有统计学意义(P<0.05)。护理后,A组的心理评分相较于B组低,差异有统计学意义(P<0.05)。结论为反复性TIA患者实行人性化护理可以抑制症状发作,调节血脂和心理状态,规避再次发作的高危因素,且患者的依从性高,舒适度好。

Objective To analyze the effects of different nursing models for patients with transient ischemic attack(TIA).Methods Conveniently selected 64 patients with recurrent TIA admitted from July 2018 to July 2020.Based on the lottery method,group A was counted as 33 cases and received humanized nursing;group B was counted as 31 cases and received routine nursing.Contrasted the role of nursing.Results After nursing,the seizure frequency statistics of group A were(1.57±0.09)times/month,group B statistics were(3.27±0.23)times/month,the difference was statistically significant(t=39.387,P<0.001);the seizure duration statistics of group A were(1.59±0.12)min,the statistics of group B were(3.86±0.24)min,the difference was statistically significant(t=48.302,P<0.001).The blood lipid levels of group A after nursing were lower than those of group B,the difference was statistically significant(P<0.05).Group A included 20 cases(60.61%)of complete compliance,12 cases(36.36%)of general compliance,1 cases(3.03%)of non-compliance,and compliance of 96.97%;group B included 14 cases(45.16%),10 cases(32.26%),7 cases(22.58%),compliance was 77.42%,the difference was statistically significant(χ^(2)=3.941,P=0.047).The comfort score of group A after nursing was higher than that of group B,the difference was statistically significant(P<0.05).After nursing,the psychological score of group A was lower than that of group B,the difference was statistically significant(P<0.05).Conclusion The implementation of humanized care for patients with recurrent TIA can inhibit the onset of symptoms,regulate blood lipids and psychological state,and avoid high-risk factors for recurrence,and the patients have high compliance and good comfort.