整合式多学科诊疗护理对老年脑梗死患者神经功能恢复、治疗依从性及生活质量的影响

Influence of Integrated Multidisciplinary Diagnosis and Nursing on Neurological Recovery, Treatment Compliance and Quality of Life in Elderly Patients with Cerebral Infarction

目的:探讨整合式多学科诊疗护理对老年脑梗死患者神经功能恢复、治疗依从性及生活质量的影响。方法:选择2019年2月—2021年2月河南省职工医院收治的156例老年脑梗死患者作为研究对象,根据建档时间分为观察组(n=78)和对照组(n=78)。对照组行常规护理,观察组行常规护理联合整合式多学科诊疗护理,比较两组患者神经功能缺损程度分级(NIHSS)评分、运动功能评分(Fugl-Meyer)、心境状态评分(POMS)、日常生活能力评分(ADL)、健康调查简表评分(SF-36)和治疗依从性。结果:护理后,两组患者的NIHSS、POMS评分显著降低,ADL评分显著增加,差异有统计学意义(t=1.906、24.036、27.359,P<0.05);与对照组比较,观察组NIHSS、POMS评分显著降低,ADL、Fugl-Meyer评分及精神健康(MH)、生理功能(PF)、社会功能(SF)和总体健康(GH) 4项指标评分均显著升高,差异有统计学意义(t=19.752、29.404、40.307、79.124;t=13.127、12.302、13.265、15.445,P<0.05);观察组治疗依从性高于对照组,差异有统计学意义(χ^(2)=6.174,P<0.05)。结论:给予老年脑梗死患者整合式多学科诊疗护理,可明显促进患者神经功能恢复,改善患者运动功能与心境状态,提高患者治疗依从性和生活质量。

Objective:To investigate the effects of integrated multidisciplinary diagnosis and care on neurological recovery,treatment compliance and quality of life in elderly patients with cerebral infarction.Methods:156 elderly patients with cerebral infarction admitted to the hospital from February 2019 to February 2021 were selected as study subjects and divided into observation and control group according to the time of establishment, with 78 cases in each group. The control group was given conventional care and the observation group was given conventional care combined with integrated multidisciplinary treatment care. The neurological deficit rating(NIHSS), motor function score(Fugl-Meyer), state of mind score(POMS), ability to perform activities of daily living(ADL), health survey short form(SF-36) and treatment compliance between the two groups before and after care were compared.Results:After nursing, the NIHSS and POMS scores were significantly lower and the ADL scores were significantly higher in both groups, with statistically significant differences(t=1.906, 24.036, 27.359, P<0.05). Compared with the control group, the observation group had significantly lower NIHSS and POMS scores and significantly higher ADL, Fugl-Meyer scores and 4 index scores of mental health(MH), physical functioning(PF), social functioning(SF) and general health(GH), with statistically significant differences(t=19.752, 29.404, 40.307, 79.124, t=13.127, 12.302, 13.265, 15.445, P<0.05). The treatment compliance was higher in the observation group than in the control group, and the difference was statistically significant(χ^(2)=6.174, P<0.05).Conclusion:Giving elderly patients with cerebral infarction integrated multidisciplinary diagnosis and care can significantly promote patients’ neurological recovery, improve their motor function and state of mind, and enhance their treatment compliance and quality of life.