路径化护理在脑梗死患者康复中的应用效果分析  

Analysis of Application Effect of Pathway Based Nursing in Rehabilitation of Patients with Cerebral Infarction

作　　者：张宁 Zhang Ning(Department of Neurology,Qihe County People's Hospital,Dezhou 251100,Shandong Province,China)

机构地区：[1]齐河县人民医院神经内科,山东德州251100

出　　处：《中国社区医师》2024年第34期118-120,共3页Chinese Community Doctors

摘　　要：目的:分析路径化护理在脑梗死患者康复中的应用效果。方法:选择2022年3月—2023年6月齐河县人民医院神经内科收治的90例脑梗死患者作为研究对象,用抽签法分为路径组和对照组,各45例。路径组实施路径化护理,对照组实施常规护理。比较两组神经功能、日常生活自理能力、并发症发生率、住院时间、治疗依从率。结果:护理前,两组美国国立卫生研究院卒中量表(NIHSS)、日常生活自理能力量表(ADL)评分对比,差异无统计学意义(P>0.05);出院时,两组NIHSS评分下降,ADL评分升高,且路径组NIHSS评分低于对照组,ADL评分高于对照组(P<0.05)。路径组并发症发生率比对照组低(P<0.05)。与对照组相比,路径组住院时间更短(P<0.05)。路径组治疗依从率高于对照组(P<0.05)。结论:路径化护理在脑梗死患者康复中的应用效果良好,可以提高患者治疗依从性,改善患者神经功能和日常生活自理能力,降低并发症发生率。Objective:To analyze the application effect of pathway based nursing in the rehabilitation of patients with cerebral infarction.Methods:A total of 90 patients with cerebral infarction admitted to the Department of Neurology at Qihe County People's Hospital from March 2022 to June 2023 were selected as the study subjects.They were divided into the pathway group and control group using drawing lot method,with 45 cases in each group.The pathway group implemented pathway based nursing and the control group implemented routine nursing.Neurological function,daily living self-care ability,incidence of complications,length of hospital stay,and treatment compliance rate were compared between the two groups.Results:Before nursing,there was no significant difference in the scores of the National Institutes of Health Stroke Scale(NIHSS)and Activities of Daily Living(ADL)scale between the two groups(P>0.05).At discharge,the NIHSS scores decreased and the ADL scores increased in the two groups,and the NIHSS score in the pathway group was lower than that in the control group,and the ADL score in the pathway group was higher than that in the control group(P<0.05).The incidence of complications in the pathway group was lower than that in the control group(P<0.05).The length of hospital stay in the pathway group was shorter than that in the control group(P<0.05).The treatment compliance rate in the pathway group was higher than that in the control group(P<0.05).Conclusion:The application of pathway based nursing in the rehabilitation of patients with cerebral infarction has a good effect,and can improve patients'treatment compliance,ameliorate patients'neurological function and daily living self-care ability,and reduce the incidence of complications.

关 键 词：脑梗死 路径化护理 神经功能 日常生活自理能力 

分 类 号：R473[医药卫生—护理学]