责任制护理干预对脑血栓患者语言、肢体功能恢复及日常生活自理能力的影响

The Effect of Responsible Nursing Intervention on the Language and Limb Function Recovery and Self-care Ability of Daily Life in Patients with Cerebral Thrombosis

目的:探讨对脑血栓实施责任制护理干预对语言、肢体及生活能力等的影响。方法:选取2019年1月—2020年4月南阳市第一人民医院收治的84例脑血栓患者作为研究对象,按随机数表法分为观察组与对照组,每组各42例。对照组患者予以常规护理干预,观察组患者予以责任制护理干预,对比两组患者经3个月随访的语言、肢体及生活自理能力恢复情况。结果:干预后,两组患者书写和阅读、复述、听觉理解、自发言语、信息量与流畅度各语言功能条目的评分均高于干预前,且观察组显著高于对照组,差异有统计学意义(t=12.395、12.093、18.823、12.269、14.006、16.678,P<0.05)。干预后,两组患者运动功能评价量表(FMA)评分与Barthel指数(BI)评分均高于干预前,观察组显著高于对照组,差异有统计学意义(t=9.753、10.833,P<0.05);出院时观察组的护理满意度为95.24%,显著高于对照组的78.57%,差异有统计学意义(χ^(2)=5.126,P<0.05)。结论:对脑血栓患者实施责任制护理干预可取得良好的干预效果,能促进患者语言与肢体功能的恢复,同时提高了患者的日常生活自理能力及患者护理满意度。

Objective:To explore the effect of responsible nursing intervention for cerebral thrombosis on language,limbs and living ability.Methods:A total of 84 patients with cerebral thrombosis who were admitted to the hospital from January 2019 to April 2020 were selected as the research objects,and divided into an observation group and a control group according to the random number table method,with 42 cases in each group.The patients in the control group were given routine nursing intervention,while the patients in the observation group were given the responsibility system nursing intervention.The recovery of language,limbs and self-care ability of the two groups of patients after 3-month follow-up was compared.Results:After the intervention,the scores of writing and reading,repetition,auditory comprehension,self-spoken speech,information volume and fluency of the two groups of patients were all improved compared with those before the intervention,and the observation group was significantly higher than the control group,and the difference was statistically significant(t=12.395,12.093,18.823,12.269,14.006,16.678,P<0.05).After the intervention,the FMA scores and BI scores of the two groups were improved compared with those before the intervention,and the observation group was significantly higher than the control group,and the difference was statistically significant(t=9.753,10.833,P<0.05).At discharge,the nursing satisfaction of the observation group was 95.24%,which was significantly higher than 78.57%of the control group,and the difference was statistically significant(χ^(2)=5.126,P<0.05).Conclusion:Responsibility nursing intervention for patients with cerebral thrombosis can achieve good intervention effect,which can promote the recovery of patients’language and limb function,and at the same time improve patients’daily life self-care ability and patients’nursing satisfaction.