基于质量反馈理论的卒中单元护理模式在接受静脉溶栓治疗的急性缺血性卒中患者中的应用效果  

Application Effect of Stroke Unit Nursing Model Based on Quality Feedback Theory in Acute Ischemic Stroke Patients Receiving Intravenous Thrombolytic Therapy

作　　者：关彩玲 徐玢[1] 王琪琪 高翠 杜岳[1] GUAN Cailing;XU Fen;WANG Qiqi;GAO Cui;DU Yue(Department of Emergency,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院急诊科,北京市100070

出　　处：《实用心脑肺血管病杂志》2024年第11期137-140,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：首都全科医学研究专项课题(21QK16)。

摘　　要：目的探讨基于质量反馈理论的卒中单元模式在接受静脉溶栓治疗的急性缺血性卒中(AIS)患者中的应用效果。方法选取2021—2022年首都医科大学附属北京天坛医院收治的168例AIS患者为研究对象,采用随机数字表法将其分为研究组和对照组,每组84例。对照组患者接受常规护理,研究组患者接受基于质量反馈理论的卒中单元护理模式。两组患者均持续干预15 d。比较两组患者溶栓治疗前及溶栓治疗后1个月美国国立卫生研究院卒中量表(NIHSS)评分、简易精神状态检查量表(MMSE)评分、Barthel指数、Fugl-Meyer运动功能评估量表(FMA)评分、健康调查简表(SF-36)评分及住院期间护理满意度。结果溶栓治疗后1个月,两组患者NIHSS评分分别低于本组溶栓治疗前,且研究组低于对照组(P<0.05);溶栓治疗后1个月,两组患者MMSE评分、Barthel指数、FMA评分及生理功能、生理职能、活力、精神健康、情感职能、躯体疼痛、社会功能、总体健康状况维度评分分别高于本组溶栓治疗前,且研究组高于对照组(P<0.05)。研究组患者护理满意度优于对照组(P<0.05)。结论基于质量反馈理论的卒中单元护理模式能有效减轻接受静脉溶栓治疗的AIS患者神经功能缺损程度,改善患者认知功能、日常生活活动能力、肢体运动功能,提高患者生活质量及护理满意度。Objective To explore the application effect of stroke unit model based on quality feedback theory in acute ischemic stroke(AIS)patients receiving intravenous thrombolytic therapy.Methods A total of 168 AIS patients admitted to Beijing Tiantan Hospital,Capital Medical University from 2021 to 2022 were selected as the research objects,and they were divided into study group and control group by random numbeRtable method,with 84 cases in each group.Patients in the control group received routine nursing,while patients in the study group received stroke unit nursing mode based on quality feedback theory.Both groups of patients received continuous intervention foR15 d.The National Institutes of Health Stroke Scale(NIHSS)score,Mini-Mental State Examination(MMSE)score,Barthel Index,Fugl-MeyeRMotoRAssessment(FMA)score,the MOS Item Short From Health Survey(SF-36)score before thrombolytic therapy and at 1 month afteRthrombolytic therapy,and nursing satisfaction during hospitalization were compared between the two groups.Results At 1 month afteRthrombolytic therapy,the NIHSS scores in the two groups were loweRthan those before thrombolytic therapy,and those in the study group were loweRthan those in the control group(P<0.05);at 1 month afteRthrombolytic therapy,the MMSE score,Barthel Index,FMA score,scores of physical functioning,role-physical,vitality,mental health,role-emotional,bodily pain,social functioning,general health status items were higheRthan those before thrombolytic therapy,respectively,and those in the study group were loweRthan those in the control group(P<0.05).The nursing satisfaction in the study group was betteRthan that in the control group(P<0.05).Conclusion The stroke unit nursing model based on quality feedback theory can effectively reduce the degree of neurological deficits in AIS patients receiving intravenous thrombolytic therapy,improve cognitive function,activities of daily living,limb motor function,quality of life and nursing satisfaction of patients.

关 键 词：缺血性卒中 质量反馈理论 卒中单元 静脉溶栓 护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学]