基于智谋理论下循证护理对脑梗死介入治疗患者康复状况及并发症的影响  

Effect of Evidence Nursing Based on Resourcefulness Theory on Rehabilitation Conditions and Syndrome of Patients with Cerebral Infarction Undergoing Intervention Treatment

作　　者：朱文丽 陈陪能[1] 陈苗 ZHU Wenli;CHEN Peineng;CHEN Miao(The 909th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army,Zhangzhou 363000,China;不详)

机构地区：[1]中国人民解放军联勤保障部队第九○九医院(厦门大学附属东南医院),福建漳州363000

出　　处：《中外医学研究》2024年第32期92-96,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究基于智谋理论下循证护理对脑梗死介入治疗患者康复状况及并发症的影响。方法:选取2023年1-12月中国人民解放军联勤保障部队第九○九医院收治的80例脑梗死介入治疗患者进行研究,按照随机双盲法将其分为A组(n=40,常规围手术期护理)、B组(n=40,基于智谋理论下循证护理)。比较两组康复状况、遵医达标率、运动功能、生活自理能力、生活质量、并发症。结果:护理后,两组患者美国国立卫生研究院组中量表(NIHSS)评分均下降,且B组低于A组,差异有统计学意义(P<0.05);护理后,两组遵医达标率、Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数评分、脑卒中影响量表(SIS)各项评分均升高,且B组高于A组,差异有统计学意义(P<0.05)。B组并发症发生率低于A组(20.00%vs 5.00%),差异有统计学意义(P<0.05)。结论:给予脑梗死介入治疗患者基于智谋理论下循证护理,患者神经功能康复效果较好,可提高患者遵医达标率、运动功能、生活自理能力与生活质量,降低并发症发生率。Objective:To explore the effect of evidence nursing based on resourcefulness theory on rehabilitation conditions and syndrome of patients with cerebral infarction undergoing intervention treatment.Method:A total of 80 patients with cerebral infarction treated by intervention treatment in the 909th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army from January to December 2023 were chosen for research.All patients were randomly separated into group A(n=40,with routine perioperative nursing)and group B(n=40,with evidence nursing based on resourcefulness theory).The rehabilitation status,compliance rate,movement function,independent living ability,quality of life and syndrome of the two groups were compared.Result:After nursing,the National Institutes of Health stroke scale(NIHSS)scores of the two groups decreased,and group B was lower than group A,the differences were statistically significant(P<0.05).After nursing,the compliance rate,Fugl-Meyer scale(FMA)score,Barthel index(BI)score and stroke impact scale(SIS)scores of the two groups increased,and the scores in group B were higher than those in group A,the differences were statistically significant(P<0.05).The incidence of complications of group B was lower than that in group A(20.00%vs 5.00%),the difference was statistically significant(P<0.05).Conclusion:Giving the evidence nursing based on resourcefulness theory to patients with cerebral infarction undergoing intervention treatment,the rehabilitation effect of neurological function is better,which can improve the compliance rate,motor function,self-care ability and quality of life of patients,and reduce the incidence of syndrome.

关 键 词：智谋理论 循证护理 脑梗死 康复状况 

分 类 号：R473.74[医药卫生—护理学]