协同护理应用在急性脑梗死患者阿替普酶溶栓治疗期间的干预效果

Intervention Effect of Collaborative Nursing Application During Alteplase Thrombolytic Therapy in Patients with Acute Cerebral Infarction

目的:探讨急性脑梗死患者阿替普酶溶栓治疗期间应用基于文献检索急性脑梗死(ACI)阿替普酶溶栓患者出院准备度(DR)影响因素协同护理的临床应用效果。方法:选择2021年1月—2022年12月在台州市第一人民医院院接受阿替普酶溶栓治疗的172例ACI患者作为研究对象,采用随机数字表法将患者分为对照组和观察组,各86例。对照组给予常规护理干预,观察组采用基于文献检索的协同护理模式,检索影响DR的风险因素后进行针对性协同护理干预。比较两组出院准备度量表(RHDS)、家庭照顾者准备度量表(CPS)、健康感知能力量表(PHCS)和护理满意度优良率。结果:观察组RHDS(自身状况、疾病知识、出院后应对能力、可获得的社会支持及总分)、CPS、PHCS(行为期望、结果期望、总分)和护理满意度优良率均高于对照组,差异有统计学意义(P<0.05)。结论:基于文献检索风险因素的协同护理干预可提高ACI阿普替酶溶栓患者的DR,改善照顾者准备度,增加患者的感知健康能力,增进护患满意度,值得临床推广应用。

Objective:To study the clinical application effect of collaborative nursing based on literature search on the influencing factors of discharge readiness(DR)in patients with acute cerebral infarction(ACI)treated with ateplase thrombolysis during the treatment period Methods:A total of 172 ACI patients received ateplase thrombolysis treatment in our hospital from January 2021 to December 2022 were selected as the study subjects.The patients were randomly divided into the control group and the observation group with 86 patients in each group using a random number table method.The control group received routine nursing intervention,while the observation group adopted the collaborative nursing model based on literature search.After searching for risk factors affecting DR,targeted collaborative nursing intervention was carried out.The discharge readiness scale(RHDS),home caregiver readiness scale(CPS),health perception ability scale(PHCS),and excellent nursing satisfaction rate of two groups of patients were observed.Results:The excellent rates of RHDS(self condition,disease knowledge,post discharge coping ability,available social support,and total score),CPS,PHCS(behavioral expectations,outcome expectations,and total score),and nursing satisfaction of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Collaborative nursing intervention based on literature retrieval risk factors can improve the DR of patients with ACI alteplase thrombolysis,improve the readiness of caregivers,increase the perceived health ability of patients,and improve the satisfaction of nurses and patients.It is worthy of clinical application.