细节化优质护理在急性脑梗死阿替普酶静脉溶栓患者中的应用效果

Application effects of detailed quality nursing in patients with acute cerebral infarction treated with Alteplase intravenous thrombolysis

目的:观察细节化优质护理在急性脑梗死(ACI)阿替普酶静脉溶栓患者中的应用效果。方法:选取2019年8月至2021年7月该院收治的86例ACI患者进行前瞻性研究,采用随机数字表法将其分为对照组和研究组各43例。两组均接受阿替普酶静脉溶栓治疗,对照组采用常规护理,研究组在对照组基础上采用细节化优质护理,比较两组护理前后负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、生命质量[脑卒中影响量表(SIS)]评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、并发症发生率和护理满意度。结果:护理1周后、出院时,研究组SAS、SDS、NIHSS评分均低于对照组,FMA、SIS评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为2.33%(1/43),低于对照组的18.60%(8/43),差异有统计学意义(P<0.05);研究组护理满意度为97.67%(42/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用细节化优质护理可提高ACI患者生命质量评分、运动功能评分和护理满意度,降低负性情绪评分、神经功能缺损评分和并发症发生率,效果优于单纯常规护理。

Objective:To observe application effects of detailed quality nursing in patients with acute cerebral infarction(ACI)treated with Alteplase intravenous thrombolysis.Methods:A prospective study was conducted on 86 patients with ACI admitted to the hospital from August 2019 to July 2021.They were divided into control group and study group by using the random number table method,43 cases in each group.Both groups received intravenous thrombolytic therapy with Alteplase.The control group was given routine nursing,while the study group was given detailed quality nursing on the basis of that of the control group.The scores of negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],the quality of life[stroke impact scale(SIS)],the neurological deficit[national institutes of health stroke scale(NIHSS)]score,the motor function[Fugl-Meyer assessment(FMA)],the incidence of complications,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After 1 week of nursing and at discharge,the scores of SAS,SDS and NIHSS in the study group were lower than those in the control group,the scores of FMA and SIS were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 2.33%(1/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 97.67%(42/43),which was higher than 81.40%(35/43)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the detailed quality nursing can improve the quality of life scores,the motor function scores and the nursing satisfaction of the ACI patients,and reduce the negative emotion scores,neurological deficit scores and the incidence of complications.Moreover,it is superior to single routine nursing.