卒中单元护理模式在急性重症脑卒中患者的应用  

Application of stroke unit nursing mode in patients with acute severe stroke

作　　者：杨焕芝[1] 娄秀娥[1] 李静[1] 赵娜[1] 商莉[1] 贾翠[1] 王田田 

机构地区：[1]滨州市中心医院神经内科三病区,251700

出　　处：《国际医药卫生导报》2018年第2期275-279,共5页International Medicine and Health Guidance News

摘　　要：目的探讨卒中单元护理模式对急性重症脑卒中患者的护理效果。方法抽取100例患者，随机分为观察组和对照组，每组50例。对照组给予常规护理，观察组在常规护理的基础上采用卒中单元护理模式，加强了重症监护、呼吸系统并发症护理、营养支持、康复护理及心理疏导等干预措施，比较两组患者NIHSS评分、GCS评分、自理能力及对治疗效果的满意率。结果干预后观察组患者NIHSS评分（15．37±2．39）分、平均住院13（18．83±1．66）d，均明显低于对照组（20．18±2．87）分、（21．44±1．63）d，差异有统计学意义（P〈0．001）；观察组患者GCS评分（12．45±2．57）分、自理能力改善有效率96．00％、治疗效果的满意率96．00％，均明显高于对照组（9．58±2．39）分、84．00％、82．00％，差异均有统计学意义（均P〈0．05）。结论卒中单元护理模式能显著改善急性重症脑卒中患者的神经功能缺损、自理能力、意识障碍程度及对治疗效果的满意率，其平均住院日也明显减少，值得临床推广应用。Objective To explore the nursing effect of stroke unit nursing mode on patients with acute severe stroke. Methods A total of 100 patients were randomly divided into an observation group and a control group, 50 cases for each group. The control group were routinely cared; in addition, the observation group were imervened by stroke unit nursing mode, including strengthening intensive care and respiratory complication nursing care, nutritional support, rehabilitation nursing care, psychological intervention, etc. The NIHSS score, GCS score, self-care ability, and satisfaction rate of the treatment were compared between the two groups. Results The NIHSS score was lower, the average hospital stay was shorter, and the GCS score, the improvement rate of self-care ability, and the satisfaction rate of treatment effect were higher in the observation group than in the control group after the intervention [（15.37±2.39） vs. （20.18±2.87）, （18.83±1.66） vs. （21.44±1.63）, （12.45±2.57）, （9.58±2.39）, 96.00% vs. 84.00%, and 96.00% vs. 82.00%], with statistical differences （all P 〈 0.05）. Conclusions Stroke unit nursing mode can significantly improve neurological deficits, self-care ability, consciousness disorder degree, and the satisfaction rate of the treatment effect in patients with severe acute stroke and obviously shorten hospital stay, so it is worth being clinically generalized.

关 键 词：卒中单元护理模式 急性重症脑卒中 护理干预 应用 

分 类 号：R473.74[医药卫生—护理学]