基于循证护理的风险预警在脑卒中患者康复中的运用效果

Application effect of risk early warning based on evidence-based nursing in the rehabilitation of stroke patients

目的探讨基于循证护理的风险预警在脑卒中患者康复中的运用效果。方法选择2020年3月—2022年2月医院收治的90例脑卒中康复患者作为研究对象,其中2020年3月—2021年2月收治的45例患者为对照组,2021年3月—2022年2月收治的45例患者为观察组。对照组采用常规护理,观察组在对照组基础上采用基于循证护理的风险预警进行干预。对两组患者的洼田饮水试验、神经功能评分(NIHSS)、Fugl-Meyer运动功能评定量表、并发症发生率、脑卒中专用生活质量量表(SS-QOL)、康复依从性进行比较。结果干预6个月后观察组患者的吞咽功能优于对照组,差异有统计学意义(P<0.05);干预6个月后观察组患者运动功能评分、生活质量得分高于对照组,差异有统计学意义(P<0.05);观察组患者康复治疗依从性优于对照组,差异有统计学意义(P<0.05);观察组患者神经功能评分低于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论在脑卒中患者康复中实施基于循证护理的风险预警,有利于识别风险与预警监测,降低深静脉血栓、跌倒、压力性损伤及感染等并发症发生率,改善吞咽功能、神经功能和运动功能,增加患者对运动功能分级康复的依从性,提高生活质量。

Objective To explore the application effect of evidence-based nursing based risk early warning in the rehabilitation of stroke patients.Methods To select 90 stroke rehabilitation patients admitted to the hospital from March 2020 to February 2022 as the research subjects,with 45 patients admitted from March 2020 to February 2021 as a control group and 45 patients admitted from March 2021 to February 2022 as an observation group.The control group received routine care,while the observation group received intervention based on evidence-based nursing risk early warning on the basis of the control group to compare the Wada drinking water test,National Institutes of Health stroke scale(NIHSS),Fugl-Meyer motor function assessment scale,incidence of complications,stroke specific quality of life scale(SS-QOL),and rehabilitation compliance between two groups of patients.Results After 6 months of intervention,the swallowing function of the observation group patients was better than that of the control group,and the difference was statistically significant(P<0.05).After 6 months of intervention,the motor function score and quality of life score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The observation group had better compliance with rehabilitation treatment than the control group,the difference was statistically significant(P<0.05).The i neurological function score in the observation was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of risk early warning based on evidence-based nursing in the rehabilitation of stroke patients is conducive to identifying risks and early warning monitoring,reducing the incidence of complications such as deep vein thrombosis,falls,pressure injuries and infections,improving swallowing function,neurological function and motor function,increasing patients'compliance with graded rehabilitation of motor function,and improving the quality of life.