需要层次理论指导下的术后康复护理干预模式在急性缺血性脑卒中患者中的应用  

Effects of postoperative rehabilitation nursing guided by hierarchy of needs theory in patients with acute ischemic stroke

作　　者：郭斌艳 韩莉[1] 聂贝贝 Guo Binyan;Han Li;Nie Beibei(Neurology Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院神经重症科,郑州450000

出　　处：《中华现代护理杂志》2023年第9期1249-1254,共6页Chinese Journal of Modern Nursing

摘　　要：目的:探讨需要层次理论指导下的术后康复护理干预模式在急性缺血性脑卒中患者中的应用效果。方法:采用便利抽样法,选取2019年2月—2022年2月在郑州大学第一附属医院神经科行介入手术治疗的120例急性缺血性脑卒中患者,随机分为观察组和对照组,各60例。对照组术后给予常规护理,观察组术后给予需要层次理论指导下的术后康复护理。比较两组干预前后的美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力评分(Barthel指数)、匹兹堡睡眠质量指数(PSQI)、17项汉密尔顿抑郁量表(HAMD-17)评分以及总体幸福感量表(GWB)评分。结果:干预后,观察组NIHSS评分低于对照组,Barthel指数高于对照组,观察组的PSQI、HAMD-17评分均低于对照组,观察组的GWB评分高于对照组,差异有统计学意义(P<0.05)。结论:需要层次理论指导下的术后康复护理干预模式有利于改善急性缺血性脑卒中患者的神经功能、负面情绪及睡眠质量,提高患者的日常生活能力和幸福感。Objective To explore the effects of postoperative rehabilitation nursing under the guidance of hierarchy of needs theory in patients with acute ischemic stroke.Methods From February 2019 to February 2022,120 patients with acute ischemic stroke who underwent interventional surgery in the Department of Neurology of the First Affiliated Hospital of Zhengzhou University were selected by convenient sampling.The patients were randomly divided into observation group and control group,with 60 cases each.The control group was given routine nursing after operation,and the observation group carried out postoperative rehabilitation nursing under the guidance of hierarchy of needs theory.The scores of the National Institute of Health Stroke Scale(NIHSS),Barthel Index,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Rating Scale 17(HAMD-17)and General Well-Being Schedule(GWB)were compared before and after the intervention.Results After intervention,the NIHSS score of the observation group was lower than that of the control group,the Barthel index of the observation group was higher than that of the control group,the PSQI and HAMD-17 scores of the observation group were lower than those of the control group,and the GWB score of the observation group was higher than that of the control group,with statistically significant differences(P<0.05).Conclusions The postoperative rehabilitation nursing under the guidance of hierarchy of needs theory is conducive to improving the neurological function,negative emotion and sleep quality of patients with acute ischemic stroke,and boosting their ability of daily life and well-being.

关 键 词：卒中 需要层次理论 急性缺血性脑卒中 康复护理 

分 类 号：R473.6[医药卫生—护理学]