以应激系统理论为基础的护理干预结合质量反馈干预对脑卒中患者神经功能恢复及创伤后成长的影响  

Effects of nursing intervention based on stress system theory combined with quality feedback intervention on neurological function recovery and post-traumatic growth in stroke patients

作　　者：王娜 郭亮[2] 李阳 WANG Na;GUO Liang;LI Yang(Neurology Department,Pucheng County Hospital,Weinan 715500;Laboratory Department,Xi'an Central Hospital,Xi'an 710003,China)

机构地区：[1]蒲城县医院神经内科,陕西渭南715500 [2]西安市中心医院检验科,陕西西安710003

出　　处：《临床医学研究与实践》2023年第34期137-140,177,共5页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.S2021-YF-YBSF-0385)。

摘　　要：目的探讨以应激系统理论为基础的护理干预结合质量反馈干预对脑卒中患者神经功能恢复及创伤后成长的影响。方法选取2019年4月至2021年5月收治的86例脑卒中患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上加以应激系统理论为基础的护理干预结合质量反馈干预。比较两组的干预效果。结果干预后,观察组的神经生长因子(NGF)、脑源性神经营养因子(BDNF)水平高于对照组,美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的创伤后成长评定量表(PTGI)各维度评分高于对照组(P<0.05)。干预后,观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组,差异具有统计学意义(P<0.05)。结论以应激系统理论为基础的护理干预结合质量反馈干预有利于恢复脑卒中患者的神经功能,改善创伤后成长,提高生活质量,值得推广。Objective To explore the effects of nursing intervention based on stress system theory combined with quality feedback intervention on neurological function recovery and post-traumatic growth in stroke patients.Methods A total of 86 stroke patients admitted from April 2019 to May 2021 were selected as the research objects and divided into control group and observation group by random number table method,with 43 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on stress system theory combined with quality feedback intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the levels of nerve growth factor(NGF)and brain derived neurotrophic factor(BDNF)in the observation group were higher than those in the control group,the National Institute of Health Stroke Scale(NIHSS)score was lower than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of Posttraumatic Growth Inventory(PTGI)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of the World Health Organization Quality of Life-BREF(WHOQOL-BREF)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on stress system theory combined with quality feedback intervention is beneficial to restore neurological function,improve post-traumatic growth and promote quality of life in stroke patients,which is worthy of promotion.

关 键 词：以应激系统理论为基础的护理干预 质量反馈干预 脑卒中 神经功能 创伤后成长 生活质量 

分 类 号：R473.74[医药卫生—护理学]