预见性干预措施在脑卒中患者介入治疗中的应用  

APPLICATION OF PREDICTIVE INTERVENTION MEASURE IN THE INTERVENTIONAL THERAPY OF STROKE PATIENTS

作　　者：李翠华[1] 沈寿琴 何建民 Li Cuihua,Shen Shouqin(Department of Neurology, Rugao People＇s Hospital, Rogao 22500, China)

机构地区：[1]江苏省如皋市人民医院神经内科二区,226500

出　　处：《中国煤炭工业医学杂志》2018年第5期549-552,共4页Chinese Journal of Coal Industry Medicine

基　　金：江苏省南通市科技局计划(指导性)项目(编号:qyz15074)

摘　　要：目的探讨预见性干预措施在脑卒中患者介入治疗中的应用价值。方法回顾性分析2016年1月—2018年6月收治的80例行脑卒中介入治疗的患者临床资料,根据随机数字表法分为观察组(n=40)和对照组(n=40)。对照组予以常规护理,观察组在对照组基础上予以预见性干预措施。比较二组并发症发生率及住院时间,采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估干预前、干预2周后患者心理状况,记录二组干预后医学应对方式(MCMQ)、护理满意度。结果 (1)观察组肺部感染发生率低于对照组(P<0.05),二组压力性损伤、下肢静脉血栓、尿路感染、应激性溃疡发生率比较,差异无统计学意义(P>0.05);(2)观察组住院时间短于对照组(P<0.05);(3)干预2周后,二组HAMA、HAMD得分均低于干预前(P<0.05),观察组降幅大于对照组(P<0.05);(4)干预2周后,观察组面对、回避得分高于对照组(P<0.05),屈服得分低于对照组(P<0.05);(5)观察组护理满意度得分高于对照组(P<0.05)。结论预见性干预措施能改善脑卒中介入治疗患者负面情绪、术后肺部感染发生风险和应对方式,在缩短住院时间和提高护理满意度方面起积极作用。Objective To explore the application value of predictive intervention measure in the interventional therapy of stroke patients.Methods The clinical data of 80 patients treated with stroke interventional therapy from January 2016 to June 2018 were retrospectively analyzed.According to the intervention methods,the patients were divided into observation group（n=40）and control group（n=40）.Control group was given routine nursing,while observation group was given predictive intervention on the basis of control group.The incidence rate of complications and hospital stay were compared between the two groups,and the psychological states[Hamilton Anxiety Scale（HAMA）,Hamilton Depression Scale（HAMD）]were evaluated before intervention and after 2 weeks of intervention,and the coping styles [Medical Coping Modes Questionnaire（MCMQ）]and nursing satisfaction were recorded in the two groups after intervention.Results The incidence rate of pulmonary infection in observation group was lower than that in control group（P〈0.05）,and there were no significant differences in the incidence rates of pressure ulcer,lower extremity venous thrombosis,urinary tract infection and stress ulcer between the two groups（P〈0.05）.The hospital stay in observation group was shorter than that in control group（P〈0.05）.After 2w of intervention,the scores of HAMA and HAMD in the two groups were lower than those before intervention（P〈0.05）,and the decreases in observation group were greater than those in control group（P〈0.05）.After 2w of intervention,the scores of facing and avoiding in observation group were higher than those in control group（P〈0.05）,and the score of yielding was lower than that in control group（P〈0.05）.The score of nursing satisfaction in observation group was higher than that in control group（P〈0.05）.Conclusion Predictive intervention measure can improve the negative emotions,risk of postoperative pulmonary infection and coping styles of stroke patients,and it plays an ac

关 键 词：脑卒中 介入治疗 预见性干预 

分 类 号：R743.3[医药卫生—神经病学与精神病学]