个性化的认知行为护理干预对脑梗死康复期患者神经功能及日常生活能力的影响  

Influence of personalized cognitive behavioral nursing intervention on neurological function and ability of daily living in patients with cerebral infarction during rehabilitation

作　　者：施彩萍[1] 韩旭 SHI Caiping;HAN Xu(Department of Internal Medicine,Jurong City Hospital of Traditional Chinese Medicine,Jiangsu Province,Zhenjiang212400,China;Clinical Medicine College,Nantong University,Jiangsu Province,Nantong226019,China)

机构地区：[1]江苏省镇江市句容市中医院内科,江苏镇江212400 [2]南通大学临床医学院,江苏南通226019

出　　处：《中国当代医药》2022年第11期190-192,196,共4页China Modern Medicine

摘　　要：目的探究个性化的认知行为护理干预对脑梗死康复期患者的影响。方法选取2019年8月至2020年5月就诊于江苏省镇江市句容市中医院内科的76例脑梗死康复期患者作为研究对象,按照随机数字表法分为研究组和对照组,各38例。对照组采取常规护理,研究组在对照组基础上增加个性化的认知行为护理。比较两组患者护理前、护理1个月的神经功能及日常生活能力;比较两组患者护理1个月期间的依从性。结果两组患者护理1个月的美国国立卫生研究院卒中量表(NIHSS)评分低于护理前,且研究组护理1个月的NIHSS评分低于对照组,差异有统计学意义(P<0.05)。两组患者护理1个月巴氏指数(BI)高于护理前,且研究组护理1个月的BI指数高于对照组,差异有统计学意义(P<0.05)。研究组护理1个月期间的依从性高于对照组,差异有统计学意义(P<0.05)。结论脑梗死康复期患者实施个性化的认知行为护理干预措施可改善患者的神经功能和日常生活能力,提高患者依从性。Objective To explore the impact of personalized cognitive behavioral nursing intervention on patients with cerebral infarction in the rehabilitation period.Methods A total of 76 patients with cerebral infarction during the rehabilitation period who were admitted to the Department of Internal Medicine,Jurong City Hospital of Traditional Chinese Medicine,Zhenjiang City,Jiangsu Province from August 2019 to May 2020 were selected as the subjects of this study,and they were divided into study group and control group according to random number table method,with 38 patients in each group.The control group took routine care,and the study group added personalized cognitive behavioral care on the basis of the control group.The neurological function and daily living ability of the two groups before and one month of nursing were compared,the compliance of the two groups of patients during one month of nursing was compared.Results The National Institutes of Health stroke scale(NIHSS)score of the two groups after nursing care for 1 month was lower than those before nursing,and the NIHSS score of the study group for 1 month of nursing care was lower than that of the control group,and the differences were statistically significant(P<0.05).The Barthel index(BI)of the two groups of nursing care for one month was higher than that before nursing,and the BI index of the study group for one month of nursing care was higher than that of the control group,the differences were statistically significant(P<0.05).The compliance of the study group during one month of nursing was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of personalized cognitive behavioral nursing interventions for patients with cerebral infarction during the rehabilitation period can improve the patients′neurological function and ability of daily living,and improve patient compliance.

关 键 词：脑梗死 认知行为护理 神经功能 日常生活能力 依从性 

分 类 号：R000[医药卫生]