护理质量敏感指标对重症脑卒中患者神经功能损伤的影响效果

The intervention effects of of nursing quality sensitive index on neurological function injury in patients with severe cerebral stroke

目的探究应用护理质量敏感指标对重症脑卒中患者神经功能损伤的影响和应用效果。方法选取收治的重症脑卒中患者128例。根据研究时间,将患者分为对照组(2018年1~12月)和研究组(2019年1~12月),每组64例。对照组患者进行常规的护理干预,研究组患者将护理质量敏感指标应用于重症脑卒中患者的护理工作中。比较2组患者干预前后神经功能和日常生活能力评分,比较2组患者护理质量重点指标实施情况和不良护理事件的发生率对护理工作的满意度。结果护理干预后,研究组患者神经功能评分低于对照组,日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。研究组患者识别准确率、护理技能合格率、风险评估合格率、早期康复训练实施率均高于对照组,研究组患者并发症发生率为9.38%,低于对照组,差异有统计学意义(P<0.05)。研究组患者不良护理事件发生率为6.25%,低于对照组,差异有统计学意义(P<0.05)。研究组对护理工作的满意度为93.75%,高于对照组,差异有统计学意义(P<0.05)。结论在重症脑卒中患者的护理治疗中应用护理质量敏感指标能够更好地改善患者的神经功能,恢复患者的日常生活能力,有利于护理质量的提高,减少了临床中不良护理事件的发生,提高了重症患者治疗的安全性,同时患者对医护工作的满意度明显提升,有利于重症脑卒中患者治疗的进行。

Objective To investigate the intervention effects of of nursing quality sensitive index on neurological function injury in patients with severe cerebral stroke.Methods A total of 128 patients with severe cerebral stroke were enrolled in the study.According to the resarch time,these patients were divided into control group(January 2018 December 2018)and research group(January 2019 December 2019),with 64 cases in each group.The patients in control group were treated by routine nursing intervention,however,the patients in research group were treated by the nursing based on sensitive indicators of nursing quality.Before and after the intervention,the scores of neurological function and the ability of daily living,and the implementation status of key indicators of nursing quality,and the incidence of adverse nursing events as well as the satisfaction degree were observed and compared between the two groups.Results After nursing intervention,the neurological function scores in research group were significantly lower than those in control group,but,the daily living ability scores were significantly higher than those in control group(P<0.05).The accuracy rate of patients’recognition,the qualified rate of nursing skills,the qualified rate of risk assessment and the implementation rate of early rehabilitation training in research group were significantly higher than those in control group,however,the incidence rates of complications and adverse nursing events in research groups were significantly lower than those in control group(P<0.05).Moreover the satisfaction degree in research group was significantly higher than that in control group(P<0.05).Conclusion The application of nursing quality sensitive indicators in the nursing treatment for patients with severe cerebral stroke can better improve the neurological function and restore the ability of daily life of patients,which can improve nursing quality,reduce the incidence of adverse nursing events,and improve the safety of treatment and satisfaction degree of patients.