“生物-心理-社会”一体化救护模式在阿替普酶治疗急性脑梗死护理中的应用  

Application of integrative nursing model based on bio-psychology-society in nursing patients with acute cerebral infarction treated by arteplase

作　　者：钟宁江 曹晓霞[1] Zhong Ningjiang;Cao Xiaoxia(Department of Emergency,Xiangya hospital,central South University,Changsha,China)

机构地区：[1]中南大学湘雅医院急诊科

出　　处：《实用休克杂志（中英文）》2019年第3期164-168,共5页Journal of Practical Shock

摘　　要：目的研究探讨基于“生物-心理-社会”一体化救护模式在阿替普酶静脉溶栓治疗急性脑梗死患者后护理中的应用效果。方法2016年1月~2018年12月在本院急诊抢救二区进行溶栓治疗后并转入神经内科病房的急性脑梗死患者92例为研究对象,按随机分配的原则分为观察组和对照组,各46例。两组患者均进行阿替普酶静脉溶栓治疗.对照组治疗期间给予常规护理干预,观察组在此基础上增加基于“生物-心理-社会”一体化救护模式干预。对两组患者的神经功能缺损评分(NIHSS)、急性脑梗死预后风险评分(ASTRAL)、不良事件发生率、生活质量评分、护理满意度等评分进行评估对比。结果护理干预后观察组患者的NIHSS、ASTRAL评分均低于对照组(PV0.05)。观察组不良事件发生率为8.70%,低于对照组患者(26.09%),P<0.05。观察组生活质量评分均高于对照组,组间比较差异有统计学意义(P<0.05)。观察组护理满意度为93.48%,高于对照组患者(78.26%),且P<0.05.结论基于“生物-心理-社会”一体化救护模式在阿替普酶静脉溶栓治疗急性脑梗死患者护理效果,能够改善患者的预后,降低不良事件发生率,改善患者的生活质量和护理满意度,值得临床推荐。Objective To study the effect of "bio-psycho-social" integrated nursing model on the post-care nursing of acute cerebral infarction patients treated by Atepexase intravenous thrombosis. Methods Ninety-two patients with acute cerebral infarction treated in rescue district 2,emergency medicine department of xiangya hospital from January 2016 to December 2018 were selected as the research objects. They were divided into observation group and control group according to the principle of random allocation, 46 cases in each group. Both groups received intravenous thrombolytic therapy with ateplase, while the control group received routine nursing intervention during the treatment. The observation group increased the intervention based on the "biological-psychological-social" integrated nursing model. Neurological deficit score (NIHSS), prognostic risk score (ASTRAL), incidence of adverse events, quality of life score and nursing satisfaction were evaluated and compared between the two groups. Results After nursing intervention, the NIHSS and ASTRAL scores of the patients in the observation group were lower those in the control group, and there were significant differences between the two groups (P<0.05). The incidence of adverse events in the observation group was 8.70%, which was lower than that in the control group 26.09%, P<0. 05. The quality of life score of the observation group was higher than that of the control group, and there was significant difference between the two groups (P<0.05).The nursing satisfaction of the observation group was 93. 48%,which was higher than that of the control group 78.26%,P<0.05. Conclusions Based on the "biological-psychological-social"integrated nursing model, the therapeutic effect of intravenous thrombolytic therapy with alteplase in patients with acute cerebral infarction can improve the prognosis of patients,reduce the incidence of adverse events, and improve the quality of life and satisfaction of patients,It is worthy of clinical recommendation.

关 键 词：急性脑梗死 溶栓治疗 阿替普酶 一体化救护 生物-心理-社会 生活质量 

分 类 号：R473.74[医药卫生—护理学]