优质护理干预对老年脑梗死患者神经功能及日常生活能力的影响

Effect of high-quality nursing intervention on neurological function and activity of daily living in elderly patients with cerebral infarction

目的:分析优质护理干预对老年脑梗死患者神经功能与日常生活能力的影响。方法:选取聊城市第四人民医院2020年11月至2022年11月收治的脑梗死患者134例,按照护理方式不同分为对照组(常规护理干预)66例和观察组(优质护理干预)68例。对比两组美国国立卫生研究院卒中量表(NIHSS)、日常生活能力(Barthel)指数、赫氏希望量表(HHI)及并发症发生情况。结果:干预后两组NIHSS评分较干预前均有下降,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后两组Barthel指数均上升,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后两组希望水平三维度评分较干预前均上升,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:优质护理干预可以减少老年脑梗死患者神经功能损伤,提升其日常生活能力,改善希望水平,减少并发症的发生。

Objective:To analyze the effect of high-quality nursing intervention on neurological function and activity of daily living in elderly patients with cerebral infarction.Methods:A total of 134 cerebral infarction patients admitted to the Fourth People's Hospital of Liaocheng from November 2020 to November 2022 were selected and divided into control group(received routine nursing intervention)with 66 cases and observation group(received high-quality nursing intervention)with 68 cases according to different nursing methods.National Institutes of Health Stroke Scale(NIHSS),ability of daily living(Barthel)index,Herth Hope Index(HHI)and complications were compared between the two groups.Results:After intervention,the NIHSS score of both groups decreased compared with that before intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After intervention,the Barthel index of both groups increased,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the three dimensional score of hope level in both groups increased compared with that before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:High-quality nursing intervention can reduce the neurological damage of patients with senile cerebral infarction,improve their daily living ability,improve their level of hope and reduce the occurrence of complications.