早期护理对脑梗死患者的干预效果分析

Analysis of Intervention Effect of Early Nursing in Patients with Cerebral Infarction

目的:探讨早期护理对脑梗死患者的干预效果。方法:选取2020年1月—2022年8月常熟第二人民医院收治的60例脑梗死患者作为研究对象,根据双盲法分为干预组与常规组,各30例。常规组给予常规护理,干预组给予早期护理干预,比较两组生活质量评分、临床指标水平、治疗依从性、并发症发生情况。结果:干预前,两组环境影响、社会关系、生理因素、心理因素评分比较,差异无统计学意义(P>0.05);干预后,两组环境影响、社会关系、生理因素、心理因素评分均高于干预前,且干预组高于常规组,差异有统计学意义(P<0.05)。干预前,两组Fugl-Meyer评定量表(FMA)、汉语失语症评定量表(ABC)、美国国立卫生研究院卒中量表(NIHSS)评分比较,差异无统计学意义(P>0.05)。干预后,两组FMA、ABC评分高于干预前,且干预组高于常规组,差异有统计学意义(P<0.05);NIHSS评分低于干预前,且干预组低于常规组,差异有统计学意义(P<0.05)。干预组治疗依从率高于常规组,差异有统计学意义(P=0.044)。干预组并发症发生率低于常规组,差异有统计学意义(P=0.038)。结论:早期护理干预可改善脑梗死患者的生活质量,促进其语言功能、肢体活动功能及神经功能恢复,提高其治疗依从性,降低并发症发生率。

Objective:To explore the intervention effect of early nursing in patients with cerebral infarction.Methods:A total of 60 patients with cerebral infarction admitted to Changshu Second People's Hospital from January 2020 to August 2022 were selected as the study subjects.According to the double-blind method,the patients were divided into intervention group and conventional group,with 30 cases in each group.The conventional group was given conventional nursing and the intervention group was given early nursing intervention.The quality of life scores,clinical index levels,treatment compliance,and the incidence of complications between the two groups were compared.Results:Before the intervention,there was no significant difference in the scores of environmental impact,social relationship,physiological factor and psychological factor between the two groups(P>0.05).After the intervention,the scores of environmental impact,social relationship,physiological factor and psychological factor in the two groups were higher than those before the intervention,and the intervention group was higher than the conventional group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of Fugl-Meyer Assessment(FMA),Aphasia Battery in Chinese(ABC),and National Institutes of Health Stroke Scale(NIHSS)between the two groups(P>0.05).After the intervention,the FMA and ABC scores in the two groups were higher than those before the intervention,and the intervention group was higher than the conventional group,and the difference was statistically significant(P<0.05);the NIHSS score was lower than that before the intervention,and that the intervention group was lower than that in the conventional group,with statistically significant difference(P<0.05).The treatment compliance rate in the intervention group was higher than that in the conventional group,and the difference was statistically significant(P=0.044).The incidence of complications in the intervention group was lower than that in the conventional group,and the difference was statistically significant(P=0.038).Conclusion:Early nursing intervention can improve the quality of life of patients with cerebral infarction,promote the recovery of their language,limb activity and neurological function,improve their treatment compliance and reduce the incidence of complications.