预见性护理模式对ICU脑卒中患者并发症发生、生活质量与心理状态的影响分析  

Analysis of the Influence of Predictive Nursing Model on the Occurrence of Complications,Quality of Life and Psychological State of ICU Stroke Patients

作　　者：许妍 方晶晶 石莹 XU Yan;FANG Jingjing;SHI Ying(Department of Neurology Intensive Care Unit,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院神经内科ICU,江苏徐州221000

出　　处：《中外医疗》2024年第31期134-138,共5页China & Foreign Medical Treatment

摘　　要：目的探讨分析在重症监护室(intensive care unit,ICU)脑卒中患者中应用预见性护理模式干预对其继发性癫痫发作、并发症、生活质量与心理状况的影响。方法方便选取2022年10月—2023年10月徐州医科大学附属医院ICU收治的84例脑卒中患者为研究对象,根据不同护理措施分为两组,各42例。对照组接受常规神经内科护理,观察组接受常规神经内科护理加预见性护理。比较两组患者继发性癫痫发生率、并发症总发生率、生活质量与心理状况。结果护理后,观察组不同脑部区域继发性癫痫总发生率与并发症总发生率分别为4.76%(2/42)和2.38%(1/42),均低于对照组的21.43%(9/42)与19.05%(8/42),差异有统计学意义(χ2=5.126、4.480,P均<0.05)。观察组护理后生活质量高于对照组,差异有统计学意义(P<0.05)。观察组护理后焦虑自评量表(Self-rating Anxiety Scale,SAS)评分与抑郁自评量表(Self-rating Depression Scale,SDS)评分均低于对照组,差异有统计学意义(P均<0.05)。结论在ICU脑卒中患者中应用预见性护理加强干预,可改善其不良情绪,降低继发性癫痫发生风险,安全性较高,可提高患者生活质量。Objective To explore and analyze the influence of applying the predictive nursing model intervention on secondary epilepsy attacks,complications,quality of life and psychological conditions in stroke patients in the intensive care unit(ICU).Methods A total of 84 stroke patients admitted to the ICU of the Affiliated Hospital of Xuzhou Medical University from October 2022 to October 2023 were conveniently selected as the research objects.According to different nursing measures,they were divided into two groups,with 42 cases in each group.The control group received routine neurology nursing,and the observation group received routine neurology nursing plus predictive nursing.The secondary epilepsy incidence,complication incidence,quality of life and psychological conditions of the two groups of patients were compared.Results After nursing,the total incidences of secondary epilepsy in different brain regions and complications in the observation group were 4.76%(2/42)and 2.38%(1/42),respectively,which were lower than 21.43%(9/42)and 19.05%(8/42)in the control group,and the differences were statistically significant(χ2=5.126,4.480,both P<0.05).The quality of life of the observation group after nursing was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group after nursing were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion Applying enhanced predictive nursing intervention in ICU stroke patients can improve their negative emotions,reduce the risk of secondary epilepsy,has high safety,and can improve the patients'quality of life.

关 键 词：脑卒中 继发性癫痫 预见性护理 心理状态 生活质量 

分 类 号：R473[医药卫生—护理学]