延伸护理对经静脉溶栓脑梗死患者出院后的影响  

Effect of extended nursing on patients with cerebral infarction by intravenous thrombolytic therapy after discharge

作　　者：王亚芳[1] 张敏[1] 

机构地区：[1]常州市第一人民医院重症医学科(ICU),常州市213000

出　　处：《护理实践与研究》2017年第24期30-32,共3页Nursing Practice and Research

摘　　要：目的:探讨延伸护理对经静脉溶栓脑梗死患者出院后的影响。方法:选取我院2014年1月~2017年1月85例脑梗死患者为研究对象,将纳入患者按随机数字表法分为延伸组43例和常规组42例。常规组在静脉溶栓治疗后给予健康教育、饮食指导、康复训练、出院指导等常规护理;延伸组在常规组基础上采用延伸护理。比较两组患者出院前3 d与出院后6个月的心理状况、神经功能、肢体运动能力、日常生活活动能力,记录两组患者出院后6个月完全遵医嘱行为比例以及脑梗死复发率。结果:延伸组患者出院后6个月焦虑评分、抑郁评分均显著低于常规组(P<0.05),Fugl-Meyer运动功能评分、Barthel指数均显著高于常规组(P<0.05)。眼神组患者出院后6个月神经功能缺损评分(NIHSS)与常规组比较无统计学意义(P>0.05)延伸组患者出院后6个月合理饮食、药物依从性、康复训练完全遵医嘱率显著高于常规组(P<0.05)。两组患者出院后6个月脑梗死复发情况经比较差异无统计学意义(P>0.05)。结论:对脑梗死静脉溶栓患者采用延伸护理,可以使患者出院后保持良好心态,提高治疗依从性,促进日常生活活动能力恢复。Objective： To explore the effect of extended nursing on patients with cerebral infarction by intravenous thrombolytic therapy after discharge.Methods： A total of 85 patients with cerebral infarction in our hospital from January 2014 to January 2017 were selected and divided into extended group of43 cases and conventional group of 42 cases. After intravenous thrombolytic therapy,the conventional group received health education,diet guidance,rehabilitation training and discharge guidance and so on. The extended group received extended nursing based on those intervention of the routine group. The mental status,neurological function,limb movement ability and activities of daily living 3 d before discharge and 6 months after discharge were compared between the two groups. The proportion of patients who followed the doctor’s advice and the recurrence rate of cerebral infarction 6 months after discharge were recorded. Results： After 6 months of discharge,the anxiety score and depressive score in the extended group were significantly lower than those in the conventional group（ P 〈 0. 05）. Fugl-Meyer motor function score and Barthel index were significantly higher than those in the conventional group（ P 〈0. 05）. After 6 months of discharge,the difference in the neurological deficit score between the extended group and the conventional group was not statistically significant（ P 〉 0. 05）. The rational diet,drug compliance and compliance rate of doctor’s advice for rehabilitation training 6 months after discharge in the extended group were significantly higher than those in the conventional group（ P 〈 0. 05）. There was no significant difference in the recurrence of cerebral infarction between the two groups after 6 months of discharge（ P 〉 0. 05）. Conclusion： Extended nursing for patients with cerebral infarction and intravenous thrombolysis can help patients to maintain a good state of mind after discharge,improve treatment compliance and promote recovery of activities of daily livi

关 键 词：脑梗死 静脉溶栓 延伸护理 

分 类 号：R473.74[医药卫生—护理学]