持续性护理干预对提高静脉溶栓后急性脑梗死患者遵医行为与康复效果的分析  

Analysis of Continuous Nursing Intervention on Improving Compliance Behavior and Rehabilitation Effect of Patients with Acute Cerebral Infarction after Intravenous Thrombolysis

作　　者：时银瑞 暨凛菱 叶晓梅 SHI Yinrui;JI Lining;YE Xiaomei(Department of Neurology,Nanping First Hospital,Nanping,Fujian Province,353000 China)

机构地区：[1]南平市第一医院神经内科,福建南平353000

出　　处：《中外医疗》2023年第21期150-154,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨持续性护理对静脉溶栓后急性脑梗死(脑梗死)患者的干预效果。方法 方便选择2019年5月—2021年5月南平市第一医院神经内科收治的102例静脉溶栓后脑梗死患者为研究对象,对其临床资料进行回顾性分析,按护理模式的不同将其分为两组,其中采用常规护理的51例为参考组,采用持续性护理的51例为观察组。对比两组遵医行为达成率、护理前后神经功能缺损程度、运动功能与日常生活活动能力。结果 观察组遵医行为达成率(遵医嘱用药90.20%、合理饮食88.24%、定期康复训练92.16%、按时复诊96.08%)均较参考组(遵医嘱用药74.51%、合理饮食72.55%、定期康复训练74.51%、按时复诊84.31%)高,差异有统计学意义(χ^(2)=4.317、3.980、5.718、3.991,P<0.05)。观察组神经功能缺损程度评分、运动功能评分、日常生活活动能力评分均优于参考组,差异有统计学意义(P<0.05)。结论 对静脉溶栓后脑梗死患者实施持续性护理可提高其遵医行为,对其神经功能与运动功能的改善具有积极影响,同时还可增强其生活能力。Objective To explore the intervention effect of continuous nursing on patients with acute cerebral infarction after intravenous thrombolysis(i.e.,cerebral infarction).Methods 102 patients with cerebral infarction after intravenous thrombolysis admitted to the Department of Neurology,Nanping First Hospital from May 2019 to May 2021were conveniently selected as the research objects.The clinical data were analyzed retrospectively,and they were divided into two groups according to the nursing mode.51 cases received routine nursing were taken as the reference group,and 51 cases received continuous nursing were taken as the observation group.The compliance rate of the two groups were compared.The degree of neurological deficit before and after nursing,motor function and daily living activities before and after nursing in the two groups were compared.Results The compliance rate of the observation group(90.20% of prescribed medication,88.24% of reasonable diet,92.16% of regular rehabilitation training,and 96.08% of regular follow-up visits) was higher than that of the reference group(74.51% of prescribed medication,72.55% of reasonable diet,74.51% of regular rehabilitation training,and 84.31% of regular follow-up visits),and the difference was statistically significant(χ^(2)=4.317,3.980,5.718,3.991,P<0.05).The neurological deficit score,motor function score and activity of daily living score of the observation group were better than those of the reference group,and the differences were statistically significant(P<0.05).Conclusion The implementation of continuous nursing care for patients with cerebral infarction after intravenous thrombolysis can promote the improvement of their compliance behavior,have a positive impact on the improvement of their neurological function and motor function,and can also enhance their living ability.

关 键 词：持续性护理 静脉溶栓 急性脑梗死 遵医行为 神经功能 运动功能 

分 类 号：R473[医药卫生—护理学]