基于健康理念导向的全程护理模式应用于急性缺血性脑卒中患者血管内介入疗法后的效果

Effect of the Whole-Course Nursing Model Oriented by Health Concept on Patients with Acute Ischemic Stroke After Endovascular Interventional Therapy

目的探讨基于健康理念导向的全程护理模式对急性缺血性脑卒中(CIS)患者血管内介入疗法后治疗依从性及生活质量的影响。方法选取2019年3月至2020年3月南阳市第二人民医院收治的94例CIS患者作为研究对象,依据建档顺序分为研究组(47例)和对照组(47例)。对照组接受常规干预,研究组接受基于健康理念导向的全程护理模式干预。比较两组健康知识总掌握度、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、肢体运动功能、神经功能、生活质量、预后、治疗依从性、不良反应发生率。结果研究组健康知识总掌握度[97.87%(46/47)]、治疗总依从率[97.87%(46/47)]均高于对照组[78.72%(37/47)、76.60%(36/47)],不良事件总发生率[6.38%(3/47)]低于对照组[23.40%(11/47)](P<0.05);干预后研究组SAS、SDS、神经功能及预后评分均低于对照组,肢体运动功能、生活质量评分均高于对照组(P<0.05)。结论对CIS患者血管内介入疗法后实施基于健康理念导向的全程护理模式,可有效改善患者心理状态,增加患者疾病知识掌握度,改善患者肢体运动及神经功能,提高患者生活质量,降低不良事件发生风险,提高患者治疗依从性,且能改善预后。

Objective To explore the impact of whole-course nursing model oriented by health concept on the treatment compliance and quality of life of patients with acute ischemic stroke(CIS)after endovascular interventional therapy.Methods A total of 94 CIS patients in Nanyang Second People’s Hospital from March 2019 to March 2020 were selected as the research objects,and were divided into study group(47 cases)and control group(47 cases)according to the order of file establishment.The control group received routine intervention,and the study group received whole-course nursing model oriented by health concept intervention.The total mastery of health knowledge,mental state,limb motor function,neurological function,quality of life,prognosis,treatment compliance and incidence of adverse reactions were compared between the two groups.Results The total mastery of health knowledge in the study group[97.87%(46/47)]and the total treatment compliance rate[97.87%(46/47)]was higher than that of the control group[78.72%(37/47),76.60%(36/47)].The total incidence of adverse events[6.38%(3/47)]was lower than that of the control group[23.40%(11/47)](P<0.05).After the intervention,the SAS,SDS,neurological function and prognosis scores of the study group were lower than those of the control group,and the quality of life scores were higher than those of the control group(P<0.05).Conclusion The implementation of whole-course nursing model oriented by health concept intervention for patients with CIS after intravascular interventional therapy can effectively improve the patient’s mental state,increase the patient’s knowledge of disease,improve the patient’s limb motor and neurological function,improve the patient’s quality of life,and reduce adverse events Risk,improve patient compliance with treatment,and improve prognosis.