质量控制理论结合责任制护理干预对急性缺血性卒中患者介入治疗效果及神经功能改善情况的影响  

Influences of Quality Control Theory Combined with Responsible Nursing on Interventional Therapy Effect and Improvement of Neurological Function in Patients with Acute Ischemic Stroke

作　　者：徐雪梅 徐君[1] 刘芸芸[1] 李玲[1] Xu Xuemei;Xu Jun;Liu Yunyun;Li Ling(Department of Neurology,Lianyungang Second People's Hospital,Lianyungang Jiangsu 222000,China)

机构地区：[1]连云港市第二人民医院神经内科,江苏连云港222000

出　　处：《医疗装备》2022年第17期183-187,共5页Medical Equipment

摘　　要：目的探讨质量控制理论结合责任制护理干预对急性缺血性卒中(AIS)患者介入治疗效果及神经功能改善情况的影响。方法选择2020年3月至2021年12月于医院接受介入治疗的104例AIS患者作为研究对象,随机分为对照组与观察组,各52例。对照组给予常规护理,观察组在对照组基础上给予质量控制理论结合责任制护理干预,比较两组的整体护理效果。结果干预后,两组美国国立卫生研究院卒中量表(NIHSS)评分均低于干预前,Barthel指数及生命质量评分量表(QOL)评分均高于干预前,且观察组NIHSS评分低于对照组,Barthel指数及QOL评分均高于对照组,差异有统计学意义(P<0.05);干预后,两组焦虑和抑郁自评量表评分均低于干预前,且观察组均低于对照组,差异有统计学意义(P<0.05);观察组介入术后并发症发生率及出院后6个月内复发率均低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论针对接受介入治疗的AIS患者,联合应用质量控制理论结合责任制护理干预措施相比仅给予常规护理干预能更好地改善患者术后神经功能,降低并发症发生率和复发率,提高患者的满意度,同时还有利于改善患者的负面情绪和生命质量。Objective The influences of quality control theory combined with responsible nursing on interventional therapy effect and improvement of neurological function in patients with acute ischemic stroke(AIS)were explored.Methods From March 2020 to December 2021,104 patients with AIS who received interventional therapy in the hospital were included in this study.They were randomly divided into a control group and an observation group,with 52 cases in each group.The control group were given routine nursing,on this basis,the observation group were given quality control theory combined with responsible nursing,and then the overall nursing effects of the two groups were compared.Results After intervention,the National Institute of Health stroke scale(NIHSS)scores of the two groups were lower than those before intervention,the Barthel index and quality of life(QOL)scores were higher than those before intervention,and the NIHSS scores of the observation group were lower than that of the control group,the Barthel index and QOL scores of the observation group were higher than those of the control group,with statistically significant differences(P<0.05);after intervention,the self-rating anxiety and depression scale scores of the two groups were lower than those before intervention,and the scores of the observation group were both lower than those of the control group,with statistically significant differences(P<0.05);the incidence of complications after intervention therapy and the recurrence rate within 6 months after discharge of the observation group were lower than those of the control group,and the nursing satisfaction of the observation group was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion For AIS patients receiving interventional therapy,compared with routine nursing,quality control theory combined with responsible nursing can better improve their postoperative neurological function,reduce the incidence of complications and recurrence rate,improve their satisfactio

关 键 词：急性缺血性卒中 质量控制理论 责任制护理干预 介入治疗 

分 类 号：R47[医药卫生—护理学]