基于损伤控制理论模型的急诊护理对急性缺血性脑卒中患者的影响

Effect of Emergency Nursing Based on Damage Control Theory Model on Patients with Acute Ischemic Stroke

目的:分析基于损伤控制理论模型的急诊护理对急性缺血性脑卒中患者致残率及脑损伤情况的影响。方法:选取2022年1—12月龙岩市第一医院急诊科收治的80例急性缺血性脑卒中患者,采用随机数表法将其分为试验组和对照组,各40例。对照组给予常规护理,试验组给予基于损伤控制理论模型的急诊护理。比较两组急救效果、并发症发生率、致残率、脑损伤情况[格拉斯哥昏迷评分法(GCS)、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数]和生活质量评分。结果:试验组总优良率高于对照组,差异有统计学意义(P<0.05)。护理前,两组GCS评分、NIHSS评分、Barthel指数比较,差异无统计学意义(P>0.05);护理后,试验组GCS评分、Barthel指数均高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。护理后,试验组各项生活质量评分均明显高于对照组,差异有统计学意义(P<0.05)。试验组并发症发生率、致残率明显低于对照组,差异有统计学意义(P<0.05)。结论:基于损伤控制理论模型的急诊护理能有效降低急性缺血性脑卒中患者致残率及脑损伤程度,并减少并发症发生,对于提升急性缺血性脑卒中患者生活质量具有非常积极的影响。

Objective:To analyze the effect of emergency nursing based on the damage control theory model on the disability rate and brain injury status on patients with acute ischemic stroke.Method:A total of 80 patients with acute ischemic stroke admitted to the Emergency Department of Longyan First Hospital from January to December 2022 were selected,and they were divided into experimental group and control group with 40 cases in each group by digital randomization method.The control group was received routine nursing,and the experimental group was received emergency nursing based on the damage control theory model.The first aid effect,complication rate,disability rate,brain injury[Glasgow coma scale(GCS),National Institutes of Health stroke scale(NIHSS)score,Barthel index]and quality of life score were compared between the two groups.Result:The total good rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before nursing,there were no statistically significant differences in GCS score,NIHSS score,and Barthel index between the two groups(P>0.05).After nursing,the GCS score and Barthel index of the experimental group were higher than those of the control group,while the NIHSS score was lower than that of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of various quality of life in the experimental group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications and disability in the experimental group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The emergency nursing based on the damage control theory model can effectively reduce the disability rate and the degree of brain injury in patients with acute ischemic stroke,and reduce the occurrence of complications,and has a very positive effect on improving the quality of life of patients with acute ischemic stroke.