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整合式多学科诊疗护理在老年脑血管疾病患者中的应用效果 被引量:4

Application effect of integrated multidisciplinary diagnosis and treatment nursing in elderly patients with cerebrovascular disease
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摘要 目的 探讨整合式多学科诊疗护理在老年脑血管疾病患者中的应用效果。方法 于2017年10月至2019年10月对辽宁省抚顺市中心医院老年脑血管疾病患者96例进行研究,根据掷骰子法分为对照组及观察组,各组48例。对照组予以常规护理,观察组在对照组基础上联合应用整合式多学科诊疗护理。比较两组心理状态、神经功能、肢体功能和生活质量。结果 干预后两组焦虑与抑郁评分低于干预前,且观察组焦虑与抑郁评分低于对照组,差异有统计学意义(P <0.05)。干预后,两组神经功能评分低于干预前,且观察组低于对照组;肢体功能评分高于干预前,且观察组高于对照组,差异有统计学意义(P <0.05)。干预后,两组生活质量各项指标和生活质量总分高于干预前,且观察组高于对照组,差异有统计学意义(P <0.05)。结论 整合式多学科诊疗护理对负面情绪缓解作用明显,可改善神经功能与肢体功能,利于提高生活质量。 Objective To explore the application effect of integrated multidisciplinary diagnosis and treatment nursing in elderly patients with cerebrovascular disease. Methods From October 2017 to October 2019, a total of 96 elderly patients with cerebrovascular disease in Fushun Central Hospital of Liaoning Province were studied and divided into control group and observation group according to the rolling dice method, with 48 cases in each group. The control group received routine nursing care, while the observation group received integrated multidisciplinary diagnosis and treatment nursing on the basis of the control group. The psychological state, neurological function, limb function, and quality of life were compared between the two groups. Results After the intervention, the scores of anxiety and depression in the two groups were lower than those before the intervention, while the scores of anxiety and depression in the observation group were lower than those in the control group, and the differences were statistically significant(P <0.05). After the intervention, the neurological function scores of the two groups were lower than those before the intervention, while the observation group was lower than the control group;the limb function scores were higher than those before the intervention, while those of the observation group were higher than those of the control group, with statistical significant differences(P < 0.05). After the intervention, the indicators of quality of life and the total score of quality of life in the two groups were higher than those before the intervention, while those of the observation group were higher than those of the control group, with statistical significant differences(P < 0.05). Conclusion The integrated multidisciplinary diagnosis and treatment nuring has a significant effect on alleviating negative emotions, can improve nerve function and limb function, and help improve the quality of life.
作者 管蕊 孙金龙 宋占春 GUAN Rui;SUN Jinlong;SONG Zhanchun(General Practice,Fushun Central Hospital,Liaoning Province,Fushun113006,China;Department of Anesthesiology,Fushun Central Hospital,Liaoning Province,Fushun113006,China;Department of Cardiology,Fushun Central Hospital,Liaoning Province,Fushun113006,China)
出处 《中国医药导报》 CAS 2022年第13期173-176,189,共5页 China Medical Herald
基金 国家卫生健康委“十四五”规划重点项目(YYWS2886)。
关键词 整合式多学科诊疗 脑血管疾病 心理状态 神经功能 肢体功能 生活质量 Integrated multidisciplinary diagnosis and treatment nursing Cerebrovascular disease Mental state Neural function Limb function Quality of life
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