个体化护理干预对提高脑血栓患者治疗效果的作用  

The Effect of Individualized Nursing Intervention on Improving the Therapeutic Effect of Patients with Cerebral Thrombosis

作　　者：武爽 WU Shuang(Tieling City Central Hospital,Tieling 112000,China)

机构地区：[1]铁岭市中心医院,辽宁铁岭112000

出　　处：《中国医药指南》2020年第24期224-226,共3页Guide of China Medicine

摘　　要：目的探讨个体化护理干预对提高脑血栓患者治疗效果的作用。方法 70例脑血栓患者均为铁岭市中心医院收治,时间为2016年8月至2020年1月,随机将其分为对照组(n=35,开展一般护理干预)和研究组(n=35,在对照组基础上开展个体化护理干预)。比较两组患者的护理满意度,生命体征恢复正常时间及住院时间;分别于护理前后监测血液学相关指标及美国国立卫生院卒中量表(NIHSS)评分;统计两组并发症发生情况。结果研究组护理满意度是高于对照组,二者数据比较,差异有统计学意义(P <0.05)。护理前,两组红细胞聚集指数、全血比黏度、血浆比黏度、NIHSS评分比较,二者数据比较,差异均无统计学意义(均P> 0.05);护理后,研究组红细胞聚集指数、全血比黏度、血浆比黏度、NIHSS评分均优于对照组,二者数据比较,差异均有统计学意义(均P <0.05)。研究组生命体征恢复正常时间及住院时间均短于对照组,二者数据比较,差异均有统计学意义(均P <0.05)。研究组并发症总发生率低于对照组,二者数据比较,差异有统计学意义(P <0.05)。结论针对脑血栓患者实施个体化护理干预的效果确切,有利于患者生命体征的平稳和住院时间的缩短,同时可减少并发症的发生,并促使患者神经功能及血液学指标的改善。Objective To investigate the individualized nursing intervention on improving the therapeutic effect of patients with cerebral thrombosis.Methods All 70 patients with cerebral thrombosis were admitted to Tieling City Central Hospital from August 2016 to January 2020.They were randomly divided into control group(n=35,general nursing intervention)and study group(n=35,Carry out individualized nursing intervention based on the control group).The nursing satisfaction,the time for vital signs to return to normal and the time of hospitalization were compared between the two groups;the hematological related indexes and the National Institutes of Health Stroke scale(NIHSS)were monitored before and after nursing;and the complications of the two groups were counted.Results The nursing satisfaction of the study group was higher than that of the control group,comparison of the two data,and the diff erence was statistically signifi cant(P<0.05).Before nursing,there was no signifi cant difference in erythrocyte aggregation index,whole blood specifi c viscosity,plasma specific viscosity and NIHSS score between the two groups(all P>0.05);but after nursing,the erythrocyte aggregation index,whole blood specific viscosity,plasma specific viscosity and NIHSS score in the study group were better than those in the control group(all P<0.05).The time for vital signs to return to normal and the time of hospitalization in the study group were shorter than those in the control group,and the diff erences were statistically signifi cant(all P<0.05).The total incidence of complications in the study group was signifi cantly lower than that in the control group(P<0.05).Conclusion Individualized nursing intervention for patients with cerebral thrombosis is eff ective,which is beneficial to the stability of vital signs and the shortening of hospitalization time,reduce the occurrence of complications,and promote the improvement of neurological function and hematological indexes.

关 键 词：脑血栓 个体化护理 护理效果 

分 类 号：R473.74[医药卫生—护理学] R742[医药卫生—临床医学]