路径式早期康复护理对静脉溶栓桥接血管内治疗急性脑梗死患者神经功能及生活质量的影响  

Effect of early pathway rehabilitation nursing on neurological function and quality of life in patients with acute cerebral infarction treated by intravenous thrombolysis and endovascular therapy

作　　者：孙秀东 潘月坤[2] SUN Xiu-dong;PAN Yue-kun(Interventional Therapy Room,Dalian Central Hospital,Dalian 116600,China)

机构地区：[1]大连市中心医院介入治疗室,116600 [2]大连大学附属中山医院,116011

出　　处：《中国实用医药》2021年第30期177-179,共3页China Practical Medicine

摘　　要：目的探究路径式早期康复护理对静脉溶栓桥接血管内治疗急性脑梗死患者神经功能及生活质量的影响。方法70例静脉溶栓桥接血管内治疗的急性脑梗死患者,随机分为对照组和实验组,每组35例。对照组术后进行常规护理,实验组术后进行路径式康复护理。比较两组患者神经功能评分、生活质量评分。结果护理前,两组患者的美国国立卫生研究院卒中量表(NIHSS)评分比较差异无统计学意义(P>0.05);护理后3、6个月,实验组的NIHSS评分分别为(21.18±4.17)、(15.58±3.37)分,均显著低于对照组的(25.52±4.29)、(20.17±3.69)分,差异具有统计学意义(P<0.05)。实验组患者生理机能、躯体疼痛、社会功能、情感智能、精神健康评分分别为(87.76±7.24)、(88.16±7.25)、(87.13±7.16)、(88.65±7.22)、(87.72±7.27)分,均显著高于对照组的(82.25±7.07)、(83.05±7.22)、(82.30±7.09)、(82.70±7.15)、(82.22±7.10)分,差异具有统计学意义(P<0.05)。结论静脉溶栓桥接血管内治疗的急性脑梗死患者经过早期路径式康复护理后神经功能恢复更加迅速,医患对恢复效果更加满意,有更强的生活自主能力,享受了更好的生活质量,该护理方法值得进一步推广。Objective To investigate the effect of early pathway rehabilitation nursing on neurological function and quality of life in patients with acute cerebral infarction treated by intravenous thrombolysis and endovascular therapy.Methods A total of 70 patients with acute cerebral infarction treated by intravenous thrombolysis and endovascular therapy were randomly divided into control group and experimental group,with 35 cases in each group.The control group received conventional nursing after surgery,and the experimental group received pathway rehabilitation nursing after surgery.The neurological function score and quality of life score were compared between the two groups.Results Before nursing,there was no statistically significant difference in National Institutes of Health stroke scale(NIHSS)score between the two groups(P>0.05).At 3 and 6 months after nursing,NIHSS scores of the experimental group were(21.18±4.17)and(15.58±3.37)points,which were significantly lower than(25.52±4.29)and(20.17±3.69)points of the control group,and the difference was statistically significant(P<0.05).The physiological function,physical pain,social function,emotional intelligence,and mental health scores of the experimental group were(87.76±7.24),(88.16±7.25),(87.13±7.16),(88.65±7.22),(87.72±7.27)points,which were significantly higher than(82.25±7.07),(83.05±7.22),(82.30±7.09),(82.70±7.15),(82.22±7.10)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Early pathway rehabilitation nursing for patients with acute cerebral infarction treated by intravenous thrombolysis and endovascular therapy helps recover the neurological function of patients more rapidly.The doctors and patients are more satisfied with the recovery effect,patients have stronger life autonomy,and enjoy a better quality of life.This nursing method is worthy of further promotion.

关 键 词：路径式早期康复护理 静脉溶栓 急性脑梗死 神经功能 生活质量 

分 类 号：R473.74[医药卫生—护理学]