病房卒中护士干预对急性脑梗死患者机械取栓术后的影响  

Effect of Ward Stroke Nurse Intervention on Patients with Acute Cerebral Infarction after Mechanical Thrombectomy

作　　者：连爱珠[1] LIAN Aizhu(Department of Neurology,Sanming First Hospital Affiliated to Fujian Medical University,Sanming,Fujian Province,365000 China)

机构地区：[1]福建医科大学附属三明市第一医院神经内科,福建三明365000

出　　处：《中外医疗》2021年第36期155-158,174,共5页China & Foreign Medical Treatment

摘　　要：目的分析病房卒中护士干预对急性脑梗死患者机械取栓术后的影响。方法随机选取2020年6月—2021年1月在该院神经内科行急性缺血性脑卒中机械取栓治疗的42例患者为观察组,随机选取2019年9月—2020年5月在该院神经内科行急性缺血性脑卒中机械取栓治疗的42例患者为对照组。对照组实施常规护理,观察组在常规护理基础上,实施病房卒中护士提前干预。对比两组患者入院至股动脉穿刺成功时间、护理满意度、并发症发生率与功能恢复状况。结果观察组入院至股动脉穿刺时间(142±35)min少于对照组(174±52)min,两组比较差异有统计学意义(t=3.309,P<0.05)。观察组护理满意度为95.2%高于对照组的71.4%,两组比较差异有统计学意义(χ^(2)=8.571,P<0.05)。观察组并发症发生率为16.7%,低于对照组的35.7%,两组比较差异有统计学意义(χ^(2)=3.941,P<0.05)。观察组肢体功能评分(63.48±6.47)分高于对照组(49.87±5.65)分,两组比较差异有统计学意义(t=10.268,P<0.05);吞咽功能评分(21.08±1.54)分低于对照组(30.25±2.31)分,两组比较差异有统计学意义(t=21.406,P<0.05);语言功能评分(91.50±2.58)分高于对照组(86.47±1.81)分,两组比较差异有统计学意义(t=10.343,P<0.05)。结论在急性脑梗死患者机械取栓术的护理中,病房卒中护士提前干预,可提高患者入院至股动脉穿刺成功时间、护理满意度,降低并发症的发生,改善预后,促进患者肢体功能、吞咽功能及语言功能的恢复,值得推广应用。Objective To analyze the effect of nurse intervention in ward stroke on patients with acute cerebral infarction after mechanical thrombus removal.Methods From June 2020 to January 2021,42 patients who underwent mechanical thrombectomy for acute ischemic stroke in the Department of Neurology of the hospital were randomly selected as the observation group.42 patients who underwent mechanical thrombectomy for acute ischemic stroke in the Department of Neurology of the hospital from September 2019 to May 2020 were randomly selected as the control group.The control group received routine nursing care,and the observation group implemented ward stroke nurses to intervene in advance on the basis of routine nursing care.The time from admission to successful femoral artery puncture,nursing satisfaction,complication rate and functional recovery of the two groups were compared.Results The time from admission to femoral artery puncture in the observation group was(142±35)min less than that in the control group(174±52)min,and the difference between the two groups was statistically significant(t=3.309,P<0.05).The nursing satisfaction of observation group was 95.2%higher than that of control group 71.4%,and the difference between the two groups was statistically significant(χ^(2)=8.571,P<0.05).The incidence of complications in the observation group was 16.7%lower than 35.7%in the control group,and the difference between the two groups was statistically significant(χ^(2)=3.941,P<0.05).The score of limb function in the observation group(63.48±6.47)points was higher than that of the control group(49.87±5.65)points,and the difference between the two groups was statistically significant(t=10.268,P<0.05);the score of swallowing function(21.08±1.54)points was low than that of in the control group(30.25±2.31)points,the difference between the two groups was statistically significant(t=21.406,P<0.05);the language function score(91.50±2.58)points was higher than the control group(86.47±1.81)points,and the difference was statistic

关 键 词：病房卒中护士 急性脑梗死 机械取栓 

分 类 号：R5[医药卫生—内科学]