基于MNA-HF评分的多元化护理模式对脑梗死患者的干预效果研究  

Study of diversified nursing model based on MNA-HF on intervention effect of patients with cerebral infarction

作　　者：范雪兰[1] 侯东敏[1] 田翠秀[1] 李红梅[1] 张敏[2] Fan Xuelan;Hou Dongmin;Tian Cuixiu;Li Hongmei;Zhang Min(Departmen of Infection Prevention and Control,Xinxiang Central Hospital,Xinxiang Henan 453000,China;Neurology department,Xinxiang Central Hospital,Xinxiang Henan 453000,China)

机构地区：[1]新乡市中心医院感染预防与控制科,河南新乡453000 [2]新乡市中心医院神经内科,河南新乡453000

出　　处：《保健医学研究与实践》2021年第6期118-121,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关项目(201702352)。

摘　　要：目的探讨基于微型营养评价量表(MNA-HF)评分的多元化护理模式对脑梗死患者的干预效果。方法选取河南省某医院2019年4月—2021年4月收治的122例脑梗死患者作为研究对象,采用随机数字表法分为观察组与对照组,每组61例。对照组患者采用常规营养干预联合常规护理,观察组采取基于MNA-HF评分的多元化护理模式,比较2组患者神经功能恢复情况、智力水平、治疗依从性及生存质量。结果2组患者护理后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理后健康调查量表(SF-36)各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗依从率为90.16%(55/61),高于对照组的72.13%(44/61),差异有统计学意义(χ^(2)=6.483,P=0.011)。2组患者护理后美国国立卫生院卒中量表(NIHSS)评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于MNA-HF评分的多元化护理模式对脑梗死患者干预效果较好,可有效恢复患者神经功能,改善患者心理状况,提升患者生存质量。Objective To explore the effect of diversified nursing model based on mini-nutritional assessment short-form(MNA-HF)on the intervention effect of patients with cerebral infarction.Methods A total of 122 patients with cerebral infarction treated in a hospital in Henan Province from April 2019 to April 2021 were randomly divided into observation group and control group,with 61 cases in each group.The patients in the control group were treated with routine nutritional intervention combined with routine nursing,and the patients in the observation group were treated with a diversified nursing model based on MNA-HF.The recovery of neurological function,intelligence level,treatment compliance and quality of life were compared between the two groups.Results The scores of SAS and SDS in the two groups after nursing were lower than those before nursing,and those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of all dimensions of SF-36 after nursing in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The compliance rate of patients in the observation group was 90.16%(55/61),which was significantly higher than that in the control group(72.13%)(44/61),and the difference was statistically significant(χ^(2)=6.483,P=0.011).After nursing,the score of National Institutes of Health Stroke Scale(NIHSS)in the two groups was lower than that before nursing,and the score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The diversified nursing model based on MNA-HF shows a good intervention effect on patients with cerebral infarction,which can effectively restore patients’neurological function,improve their psychological status and improve their quality of life.

关 键 词：MNA-HF评分 多元化护理模式 脑梗死 生存质量 神经功能 

分 类 号：R473.74[医药卫生—护理学]