分析护理角色定位模式对脑卒中患者神经功能、睡眠质量及生命质量的影响  

Analyzing the Impact of Nursing Role Positioning Mode on NIHSS,PSQI,and ADL Scores in Stroke Patients

作　　者：欧巧明 陈婴婴 林小萍 OU Qiaoming;CHEN Yingying;LIN Xiaoping(Xiamen Fifth Hospital,Xiamen 361101,China;Fudan University Affiliated Pediatric Hospital Xiamen Hospital/Xiamen Children's Hospital,Xiamen 361006,China;Xiamen University Affiliated Zhongshan Hospital,Xiamen 361004,China)

机构地区：[1]厦门市第五医院,厦门361101 [2]复旦大学附属儿科医院厦门医院/厦门市儿童医院,厦门361006 [3]厦门大学附属中山医院,厦门361004

出　　处：《世界睡眠医学杂志》2024年第4期879-882,共4页World Journal of Sleep Medicine

摘　　要：目的:分析护理角色定位模式干预对脑卒中患者神经功能、睡眠质量及生命质量的影响。方法:选取2022年2月至2023年3月厦门市第五医院收治的脑卒中患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例,对照组在治疗期间给予常规护理干预,观察组给予护理角色定位模式的护理干预。采用美国国立卫生院卒中量表(NIHSS)比较2组患者神经功能的改善情况,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用日常生活能力量表(ADL)量表比较2组患者干预前后生命质量的差异。结果:干预后,观察组NIHSS评分、PSQI评分显著低于对照组,观察组ADL评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:开展护理角色定位模式可有效改善脑卒中患者神经功能症状,提高患者生命质量,改善患者睡眠质量,增加患者活动能力,值得推广应用。Objective:To analyze the impact of nursing role positioning intervention on NIHSS,PSQI,and ADL scores in stroke patients.Methods:A total of 88 stroke patients admitted to Xiamen Fifth Hospital from February 2022 to March 2023 were selected as the research subjects.They were randomly divided into observation and control groups,with 44 cases in each group.The control group received routine nursing intervention during treatment,while the observation group received nursing intervention based on the nursing role positioning mode.The National Institutes of Health Stroke Scale(NIHSS)was used to compare the improvement of symptoms between two groups of patients,and the Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention between the two groups of patients,and the Activities of Daily Living(ADL)scale was used to compare the differences in quality of life between the two groups of patients before and after intervention.Results:After intervention,the NIHSS score and PSQI score of the observation group were significantly lower than those of the control group,and the ADL score of the observation group was significantly higher than that of the control group.The differences between the two groups were statistically significant(both P<0.05).Conclusion:The nursing role positioning model can effectively improve the neurological symptoms of stroke patients,enhance their quality of life,improve their sleep quality,and increase their activity ability.It is worth promoting and applying.

关 键 词：护理角色定位模式 脑卒中 睡眠质量 神经功能 生命质量 康复效果 

分 类 号：R722.151[医药卫生—儿科] R338.63[医药卫生—临床医学]