急性缺血性脑卒中介入术后应用集束化护理的效果分析

Analysis of the Effect of Cluster Nursing after Interventional Operation in Acute Ischemic Stroke

目的:探讨急性缺血性脑卒中(AIS)介入术后应用集束化护理的效果。方法:选取2020年3月—2021年3月湘潭市中心医院收治的96例AIS介入术后患者作为研究对象,采用随机数表法分为对照组和干预组,每组各48例。对照组采用常规护理,干预组采用集束化护理。对比两组患者的恢复情况[运动功能评定量表(FMA)评分、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数评分]、焦虑抑郁情绪[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、术后并发症发生情况。结果:干预后,干预组FMA评分、Barthel指数评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(t=10.717、9.030、3.753,P<0.05)。干预后,两组患者SAS评分、SDS评分均低于干预前,且干预组低于对照组,差异有统计学意义(t=3.774、3.876,P<0.05)。干预组术后并发症总发生率低于对照组,差异有统计学意义(χ^(2)=6.315,P<0.05)。结论:AIS介入术后应用集束化护理能够促进患者肢体功能、神经损伤的恢复,缓解患者焦虑抑郁情绪,降低术后并发症的发生。

Objective:To explore the effect of cluster nursing after interventional intervention in acute ischemic stroke(AIS).Methods:A total of 96 patients with AIS after intervention in the hospital from March 2020 to March 2021 were selected as the research objects, and divided into a control group and an intervention group by random number table method, with 48 cases in each group. The control group was given routine nursing care, and the intervention group was given cluster nursing care. The recovery status of the two groups of patients(motor function assessment scale [FMA] score, National Institutes of Health Stroke Scale[NIHSS] score, Barthel index score), the anxiety and depression(self-rating anxiety scale [SAS] score, self-rating depression scale[SDS] score) and postoperative complications were compared between the two groups.Results:After the intervention, the FMA score and Barthel index score of the intervention group were higher than those of the control group, and the NIHSS score was lower than that of the control group, and the differences were statistically significant(t=10.717, 9.030, 3.753, P<0.05). After the intervention, the SAS and SDS scores of the two groups were lower than those before the intervention, and the intervention group was lower than the control group, the difference was statistically significant(t=3.774, 3.876, P<0.05). The total incidence of postoperative complications in the intervention group was lower than that in the control group, and the difference was statistically significant(χ^(2)=6.315, P<0.05).Conclusion:The application of clustered nursing after AIS intervention can promote the recovery of patients’ limb function and nerve damage, relieve anxiety and depression, and reduce the occurrence of postoperative complications.