脑梗死患者护理中心理干预与健康教育的临床应用效果

Clinical Application of Psychological Intervention and Health Education in Nursing Center of Cerebral Infarction Patients

目的分析脑梗死患者护理中心理干预与健康教育的临床效果,探究脑梗死患者护理的新方法。方法采用随机的方式在我院进行治疗的脑梗死患者中抽取70例作为研究对象,选取时间为2016年5月至2017年5月,并将所有研究对象采用随机数表法分为对照组(n=35)、试验组(n=35)。对照组和试验组患者分别采取常规的护理方法、加强心理护理以及健康教育,观察两组患者的护理满意度、生活治疗、临床效果、精神状态、日常生活能力评分。结果在护理满意度方面,试验组患者显著高于对照组(94.29%vs.65.71%),P<0.05;试验组患者的各项生活质量评分相比于对照组明显更高,P<0.05;护理干预前,两组患者的精神状态评分比较无差异,P>0.05;护理干预后,两组患者MMSE评分比较,试验组明显高于对照组[(25.01±3.05)分vs.(14.41±2.23)分],P<0.05;两组患者的ADL评分比较,试验组显著高于对照组[(48.96±4.03)分vs.(36.01±3.12)分],P<0.05;试验组的治疗有效率91.43%(32/35)显著高于对照组60.00%(21/35),P<0.05。结论对于脑梗死患者的护理干预,可采用心理干预与健康教育联合护理手法,患者的护理满意度高,临床疗效好,值得临床推广应用。

Objective To analyze the clinical effect of psychological intervention and health education in the nursing of patients with cerebral infarction,and explore a new nursing method for patients with cerebral infarction.Methods Seventy patients with cerebral infarction who were treated in our hospital from May 2016 to May 2017 were selected as the study subjects.The study subjects were divided into control group and observation group by random number table method,35 cases in each group.The patients in the control group were given routine nursing methods.The patients in the observation group were given psychological nursing and health education on the basis of the control group.The nursing satisfaction,life therapy,clinical effect,mental state and daily living ability scores of the patients in the two groups were observed.Results The nursing satisfaction of patients in the observation group was 94.29%(33/35)and 65.71%(23/35)in the control group.The nursing satisfaction of patients in the observation group was significantly higher than that of the control group,P<0.05.The scores of quality of life of patients in the observation group were significantly higher than those in the control group,P<0.05.After nursing intervention,the MMSE score of the patients in the control group was(14.41±2.23)and that of the observation group was(25.01±3.05).The difference between the two groups was statistically significant,P<0.05.The ADL score of the patients in the control group was(36.01±3.12)and that of the observation group was(48.96±4.03).The scores of the patients in the observation group were significantly higher than those in the control group,P<0.05.The effective rate of treatment in the observation group was 91.43%(32/35),while that in the control group was 60.00%(21/35).The effective rate of treatment in the observation group was significantly higher than that in the control group,P<0.05.Conclusion Psychological intervention combined with health education can be used in nursing intervention for patients with cerebral infarction.The nursing satisfaction of patients is high and the clinical effect is good,which is worthy of clinical application.