集束化护理对急性脑梗死急诊取栓术后患者康复的影响  

Impact of Cluster Care on the Rehabilitation of Patients after Emergency Thrombectomy for Acute Stroke

作　　者：姜玲 姜盟盟 刘霞 JIANG Ling;JIANG Mengmeng;LIU Xia(Department of Emergency,Tai'an 88 Hospital,Tai'an 271000,China;Deparment of Surgery,Tai'an 88 Hospital,Tai'an 271000,China;Department of Neurosurgery,Tai'an 88 Hospital,Tai'an 271000,China)

机构地区：[1]泰安八十八医院急诊科,山东泰安271000 [2]泰安八十八医院外科,山东泰安271000 [3]泰安八十八医院神经外科,山东泰安271000

出　　处：《中国医药指南》2023年第28期176-178,共3页Guide of China Medicine

摘　　要：目的 探讨集束化护理对急性脑梗死急诊取栓术后患者康复效果的影响。方法 选择2019年4月至2023年4月泰安八十八医院接收的急性脑梗死患者62例作为研究对象,随机数字表法分为两组,各31例。对照组为常规护理干预,观察组在此基础上实施集束化护理干预,比较两组护理后的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、Fugl-Meyer评定(Fugl-Meyer assessment,FMA)上肢和下肢评分、Barthel指数、36项简明健康调查问卷(short form 36 health survey questionnaire,SF-36)、治疗有效率及并发症发生率。结果 观察组NIHSS评分低于对照组,FMA上肢和下肢评分、Barthel指数、SF-36评分高于对照组(均P<0.001)。观察组治疗有效率高于对照组(96.8%vs. 77.4%,P=0.023)。观察组并发症发生率为低于对照组(6.5%vs. 32.3%,P=0.010)。结论 急性脑梗死取栓术后实施集束化护理干预可促进患者良好康复,减少相关并发症,促进患者神经功能改善,提高运动能力及生活自理能力,恢复良好的生活质量。Objective To explore the influence of intensive nursing on the rehabilitation effect of patients after emergency thrombectomy for acute cerebral infarction.Methods 62 patients with acute cerebral infarction received by Tai'an 88 Hospital from April 2019 to April 2023 were selected as the study object,and were divided into two groups of 31 cases each by random number table method.The control group was conventional nursing intervention,and the observation group implemented intensive nursing intervention on this basis,comparing the National Institute of Health stroke scale(NIHSS)score,Fugl-Meyer assessment(FMA)upper limb and lower limb scores,Barthel index,short form 36 health survey questionnaire(SF-36),treatment efficiency and complication rate of the two groups after nursing.Results The NIHSS score of the observation group was lower than that of the control group,and the FMA upper and lower extremity scores,Barthel index,and SF-36 scores were higher than those of the control group(all P<0.001).The effective rate of treatment in the observation group was higher than that in the control group(96.8%vs.77.4%,P=0.023).The complication rate of the observation group was lower than that of the control group(6.5%vs.32.3%,P=0.010).Conclusions The implementation of intensive nursing intervention after thrombectomy for acute cerebral infarction can promote patients'good recovery,reduce related complications,promote the improvement of patients'neurological function,improve the ability of movement and self-care ability,and restore a good quality of life.

关 键 词：急性脑梗死 取栓术 集束化护理 救治时间 神经功能 

分 类 号：R473.74[医药卫生—护理学]