规范化护理在行急性脑梗死Solitaire AB型支架取栓治疗患者护理中的应用效果

Effects of standardized nursing in patients with acute cerebral infarction underwent Solitaire AB stent-retriever thrombectomy

目的 探讨规范化护理在行Solitaire AB型支架取栓术的急性脑梗死(ACI)患者护理中的应用效果,以期为临床治疗提供参考。方法 本研究选取2020年8月—2021年7月在郑州大学第一附属医院行Solitaire AB型支架取栓术的92例ACI患者为研究对象。采用随机数字表法将患者分为研究组和对照组,每组46例。对照组患者采用常规护理干预,研究组患者采用规范化护理干预。比较2组患者干预前后神经功能缺损评分量表(NIHSS)、Fugl Meyer运动功能评分量表(FAM)和Barthel指数(BI)评分。比较2组患者干预期间并发症发生情况;出院时,采用纽卡斯尔护理服务满意度量表(NSNS)评估2组患者护理满意度。结果 干预前,2组患者NIHSS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者NIHSS评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者FAM及BI评分比较,差异无统计学意义(P>0.05)。干预后,2组患者FAM及BI评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率为2.17%,低于对照组的17.39%,差异有统计学意义(P<0.05)。研究组患者护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论 对行Solitaire AB型支架取栓术的ACI患者采用规范化护理,可促进患者神经功能和运动功能恢复,提高患者日常生活能力,并能减少血肿、出血等并发症的发生,有利于满足患者护理需求,临床效果突出。

Objectives This paper aims to explore the effects of standardized nursing in patients with acute cerebral infarction(ACI)who underwent Solitaire AB stent-retriever thrombectomy to provide clinical support for treatment.Methods From August 2020 to July 2021,92 patients with ACI who underwent Solitaire AB stent-retriever thrombectomy at the First Affiliated Hospital of Zhengzhou University were recruited as the research participants.They were assigned to a control group and a study group using a random number table,with 46 cases in each group.The control group received the routine nursing intervention,while the study group received the standardized nursing intervention.The National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment Scale(FAM),and Barthel Index(BI)scores were compared between the two groups before and after intervention.Complications during the intervention period were compared,and the Newcastle Satisfaction with Nursing Scale(NSNS)was used to evaluate the nursing satisfaction of patients in the two groups at discharge.Results Before the intervention,there was no statistically significant difference in NIHSS scores between the two groups(P>0.05).After the intervention,NIHSS scores in both groups significantly decreased,and the study group had significantly lower NIHSS scores than the control group(P<0.05).Before the intervention,no significant difference presented in FAM and BI scores between the two groups(P>0.05).After the intervention,both FAM and BI scores in both groups increased,and the study group had higher scores than the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 2.17%,which was significantly lower than that in the control group(17.39%;P<0.05).The overall degree of nursing satisfaction in the study group was significantly higher than that in the control group(P<0.05).Conclusion Standardized nursing for ACI patients who underwent Solitaire AB stent-retriever thrombectomy can promote the recovery of their neurological and motor functions,improve their daily living abilities,and reduce the occurrence of complications such as hematoma and bleeding.This nursing meets the needs of patients and indicates good clinical effects.