针对性护理对急诊脑梗死患者预后的影响

Effect of targeted nursing on the prognosis of patients with acute cerebral infarction

目的探讨分析对急诊脑梗死患者实施针对性护理的作用,为改善预后积累临床经验。方法此次研究对象选取天津市东丽区中医医院2019年5月—2021年1月收治的88例急诊脑梗死患者,根据双盲法对其分为研究组和参照组,每组各44例。参照组患者接受常规护理,研究组患者接受针对性护理。在本次比较研究中,观察并记录两组患者在护理过程中的并发症发生情况,同时评估神经功能缺损改善情况以及生活质量改善情况。结果护理前,两组患者神经功能比较差异无统计学意义(P>0.05);护理后,两组患者神经功能缺损评分均低于护理前,且研究组低于参照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为4.5%,低于参照组的18.2%,差异有统计学意义(P<0.05)。护理前,两组患者生活质量评分比较差异无统计学意义(P>0.05);护理后,两组患者生活质量评分均高于护理组,且研究组评分高于参照组,差异均有统计学意义(P<0.05)。结论对急诊脑梗死患者实施针对性护理能够降低并发症发生率,促进其神经功能的恢复,提高其生活自理能力,强化患者的依从性,实现改善预后的目的,值得临床推广应用。

Objective To explore and analyze the effect of targeted nursing on patients with acute cerebral infarction,so as to accumulate clinical experience for improving the prognosis.Methods The subjects of this study were 88 patients with acute cerebral infarction admitted from May 2019 to January 2021 in Tianjin Dongli District Traditional Chinese Medicine Hospital.They were divided into study group and reference group according to double blind method,with 44 patients in each group.Patients in the reference group received routine care,while patients in the study group received targeted care.In this comparative study,the complications of the two groups in the nursing process were observed and recorded,and the improvement of neural function disorder and quality of life were evaluated.Results Before nursing care,there was no significant difference in neurological function between the two groups(P>0.05);after nursing,the neurological function defect scores of the two groups were lower than those before intervention,and the study group was lower than that of the reference group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 4.5%,which was lower than 18.2% of the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in the scores of quality of life between the two groups(P>0.05);after nursing,the quality of life scores of the two groups were higher than those before intervention,and the study group was higher than that of the reference group,and the differences were all statistically significant(P<0.05).Conclusion Targeted nursing for patients with acute cerebral infarction could reduce the incidence of complications,promote the recovery of their neurological function,improve their ability to take care of themselves,and strengthen the compliance of patients,so as to achieve the goal of improving the prognosis.It was worthy of clinical promotion and application.