基于创新扩散理论的循证护理在老年急性脑梗死患者中的应用

Effects of Evidence-Based Nursing Based on Innovation Diffusion Theory in Elderly Patients with Acute Cerebral Infarction

目的探讨老年急性脑梗死(ACI)患者采用基于创新扩散理论的循证护理干预的影响。方法选取2021年3月至2022年3月郑州人民医院收治的76例老年ACI患者,按照随机数表法分成干预组(n=38)与对照组(n=38),对照组采用常规护理干预,干预组采用基于创新扩散理论的循证护理干预,比较两组心理韧性、运动功能、日常生活能力。结果干预后,两组心理弹性量表(CD-RISC)评分高于干预前,且干预组评分高于对照组;干预后,两组肢体运动功能量表(FMA)评分高于干预前,且干预组评分高于对照组;干预后,两组日常生活活动功能量表(ADL)评分高于干预前,且干预组评分高于对照组,差异有统计学意义(P<0.05)。结论在老年ACI患者干预中,应用基于创新扩散理论的循证护理,能够改善其心理韧性,促进运动功能恢复,提高患者日常生活能力。

Objective To investigate the effect of evidence-based nursing intervention based on innovation diffusion theory in elderly patients with acute cerebral infarction(ACI).Methods A total of 76 elderly patients with ACI who were admitted in Zhengzhou People’s Hospital from March 2021 to March 2022 were selected,and they were divided into the intervention group(n=38)and the control group(n=38)by the random number table method.The control group was useed routine nursing care intervention,the intervention group was adopted evidence-based nursing intervention based on the innovation diffusion theory.The psychological toughness,motor function,and daily living ability of the two groups were compared.Results After the intervention,the scores of Connor-Davidson resilience scale(CD-RISC)in the two groups were increased,and the score in the intervention group was higher than that in the control group.After the intervention,the scores of the limb motor function scale(FMA)in the two groups were increased,and the score in the intervention group was higher than that in the control group.After the intervention,the activities of daily living(ADL)scores in the two groups were increased,and the score in the intervention group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The application of evidence-based nursing based on the innovation diffusion theory in the intervention of elderly patients with ACI can improve their mental toughness,improve the recovery of motor function and the daily living ability.