预案性护理在急性脑血管病患者中的应用效果

Application effect of precautionary nursing in acute cerebrovascular disease patients

目的探讨预案性护理在急性脑血管病患者中的应用效果。方法采用便利抽样法,选取2019年8月—2021年2月驻马店市中心医院收治的125例急性脑血管病患者为研究对象,按照随机数字表法将患者分为研究组(n=63例)和对照组(n=62)。对照组接受神经内科常规护理干预,研究组在对照组基础上实施预案性护理干预。干预前与干预3个月后分别比较两组患者美国国立卫生研究院卒中量表(NIHSS)、脑卒中专用生活质量量表(SS-QOL)评分以及住院期间不良事件、发病后3个月内并发症发生情况。结果干预3个月后研究组患者NIHSS评分低于对照组,SS-QOL评分高于对照组,不良事件发生率、发病后3个月内并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论预案性护理应用于急性脑血管病患者,可降低相关并发症及不良事件发生风险,促进患者神经功能恢复,能够改善患者生活质量,值得临床应用。

Objective To explore the application effect of precautionary nursing in patients with acute cerebrovascular disease.Methods From August 2019 to February 2021,a total of 125 patients with acute cerebrovascular disease who were admitted to Zhumadian Central Hospital were selected as the research objects by the convenient sampling method.According to the random number table method,the patients were divided into the study group(n=63)and the control group(n=62).The control group received routine nursing intervention in neurology department,while the study group implemented precautionary nursing intervention on the basis of the control group.The scores of National Institute of Health Stroke Scale(NIHSS),Stroke Specific Quality of Life Scale(SS-QOL),adverse events during hospitalization and complications within 3 months after onset were compared between the two groups before intervention and 3 months after intervention.Results After 3 months of intervention,the NIHSS score of the study group was lower than that of the control group,the SS-QOL score was higher than that of the control group,the incidence of adverse events and the incidence of complications within 3 months after onset were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The application of precautionary nursing in patients with acute cerebrovascular disease can reduce the risk of related complications and adverse events,promote the recovery of neurological function and improve the quality of life of patients,which is worthy of clinical application.