老年脑梗死患者实施循证护理干预的价值分析  

Value Analysis of Evidence-based Nursing Intervention in Elderly Patients with Cerebral Infarction

作　　者：梁秀平[1] 吕晓媛 王海华 张艺明 LIANG Xiuping;LYU Xiaoyuan;WANG Haihua;ZHANG Yiming(Maoming People’s Hospital,Maoming 525000,China)

机构地区：[1]广东省茂名市人民医院,广东茂名525000

出　　处：《中国医学创新》2020年第6期98-102,共5页Medical Innovation of China

摘　　要：目的:探讨老年脑梗死患者实施循证护理干预的临床应用效果。方法:选取2018年6月-2019年4月本院收治的120例老年脑梗死患者,按照随机数x表法分为对照组和研究组,每组60例。对照组予以常规护理干预,研究组予以循证护理干预。比较两组患者神经功能缺损量表(NIHSS)评分、改良Barthel评分、诺丁汉健康调查表(NHP)评分、简易精神状态检查测量表(MMES)评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、超敏C-反应蛋白(hs-CRP)、CD4^+、CD8^+、CD4^+/CD8^+含量。结果:干预前,两组NIHSS评分、Barthel评分、MMSE评分、NHP评分比较,差异均无统计学意义(P>0.05);干预后,两组NIHSS评分、NHP评分均低于干预前,且研究组上述评分均低于对照组(P<0.05);干预后,两组Barthel评分、MMSE评分均高于干预前,且研究组上述评分均高于对照组(P<0.05)。干预前,两组IL-6、hs-CRP、TNF-α、CD4^+、CD8^+、CD4^+/CD8^+水平比较,差异均无统计学意义(P>0.05);干预后,两组IL-6、hs-CRP、TNF-α、CD8^+水平均低于干预前,且研究组上述指标均低于对照组,差异均有统计学意义(P<0.05);干预后,两组CD4^+、CD4^+/CD8^+均高于干预前,且研究组上述指标均高于对照组,差异均有统计学意义(P<0.05)。结论:在老年脑梗死患者中应用循证护理干预,可显著改善患者神经功能、认知功能,降低患者炎性因子水平,提高患者日常生活能力、免疫功能及生活质量。Objective:To explore the clinical effect of evidence-based nursing intervention in senile cerebral infarction patients.Method:A total of 120 elderly patients with cerebral infarction admitted to our hospital from June 2018 to April 2019 were selected.According to the random number table method,they were divided into control group and study group,60 cases in each group.The control group received routine nursing intervention,the research group conducted evidence-based nursing interventions.The NIHSS score,modified Barthel score,Nottingham health questionnaire (NHP) score,MMES score,tumor necrosis factor-α (TNF-α),interleukin-6 (IL-6),hypersensitive C-reactive protein (hs-CRP),CD4^+,CD8^+,CD4^+/CD8^+ were compared between the two groups.Result:Before the intervention,NIHSS score,Barthel score,MMSE scores and NHP scores were compared between the two groups,the differences were not statistically significant (P>0.05).After the intervention,NIHSS score and NHP score in both groups were lower than those before intervention,the above scores of study group were lower than those in the control group (P<0.05).After the intervention,Barthel scores and MMSE scores in both groups were higher than those before intervention,the above scores of study group were higher than those in the control group (P<0.05).Before the intervention,the levels of IL-6,hs-CRP,TNF-α,CD4^+,CD8^+ and CD4^+/CD8^+ in the two groups were compared,the differences were not statistically significant (P>0.05).After the intervention,the levels of IL-6,hs-CRP,TNF-α,and CD8^+ in both groups were lower than those before the intervention,and above indexes of the study group were lower than those in the control group,the differences were statistically significant (P<0.05).After the intervention,the levels of CD4^+ and CD4^+/CD8^+ in both groups were higher than those before intervention,and above indexes of the study group were higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of evidence-b

关 键 词：脑梗死 循证护理 免疫 炎性因子 神经功能 

分 类 号：R473.74[医药卫生—护理学]