多学科协作下无缝隙护理对急性脑梗死取栓治疗患者康复的促进效果  

Effect of Seamless Nursing Under Multidisciplinary Collaboration on Rehabilitation of Patients with Acute Cerebral Infarction Treated with Thrombectomy

作　　者：李艳荣[1] 谢卫征 周欣欣[2] 赵娜娜 孟楠楠 LI Yanrong;XIE Weizheng;ZHOU Xinxin;ZHAO Nana;MENG Nannan(Department of Nursing,Anyang City People’s Hospital,Anyang 455000,China;Department of Neurology,Anyang City People’s Hospital,Anyang 455000,China;Department of Rehabilitation,Anyang City People’s Hospital,Anyang 455000,China;Department of Emergency,Anyang City People’s Hospital)

机构地区：[1]安阳市人民医院护理部,河南安阳455000 [2]安阳市人民医院神经内科,河南安阳455000 [3]安阳市人民医院康复科,河南安阳455000 [4]安阳市人民医院急诊科,河南安阳455000

出　　处：《河南医学研究》2025年第3期558-562,共5页Henan Medical Research

摘　　要：目的 分析多学科协作下无缝隙护理对急性脑梗死取栓治疗患者康复的促进效果。方法 选择2021年1月至2023年4月安阳市人民医院收治的308例急性脑梗死取栓治疗患者纳入研究。回顾性收集患者临床资料,根据护理方案分为对照组(165例,接受常规干预),试验组(143例,接受多学科协作下无缝隙护理),两组均护理至出院后1个月。比较两组护理前后康复效果、生活自理能力、心理状态及睡眠,护理后护理满意度,护理期间并发症发生情况。结果 较护理前,护理后两组美国国立卫生研究院卒中量表(NIHSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)评分降低,且试验组更低(P<0.05)。与护理前比较,护理后两组Fugl-Meyer运动功能量表(FMA)、Barthel指数(BI)、执行缺陷综合征行为评价量表(BADS)、自我护理能力测定量表(ESCA)得分均升高,且试验组更高(P<0.05)。护理后,相较对照组,试验组总满意率更高(93.71%比85.45%,P<0.05)。护理期间,试验组并发症发生率在两组中更低(P<0.05)。结论 多学科协作下无缝隙护理可改善急性脑梗死取栓治疗患者康复效果,提高生活自理能力,改善心理状态及睡眠,降低并发症发生风险,获得患者认可。Objective To analyze the effect of seamless nursing under multidisciplinary collaboration on rehabilitation of patients with acute cerebral infarction treated with thrombectomy.Methods A total of 308 patients with acute cerebral infarction treated by thrombus removal in Anyang People’s Hospital from January 2021 to April 2023 were included in the study.Clinical data were retrospectively collected and the patients were divided into the control group(165 cases,received routine intervention)and the experimental group(143 cases,received seamless nursing under multidisciplinary collaboration)according to different nursing plans,and both groups were nursed for 1 month after discharge.The two groups of results of rehabilitation,self-nursing ability,mental state and sleep,post-nursing satisfaction and complications were compared before and after nursing.Results Compared with before nursing,the scores of National Institutes of Health stroke scale(NIHSS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburgh sleep quality index(PSQI)in the two groups were lower after nursing,and those in the experimental group were lower(P<0.05).Compared with before nursing,the scores of Fugl-Meyer assessment scale(FMA),Barthel index(BI),behavioral assessment of dysexecutive syndrome(BADS)and exercise of self-care agency scale(ESCA)increased in both groups after nursing,and those in the experimental group were higher(P<0.05).After nursing,the total satisfaction rate of the experimental group was higher than that of the control group(93.71%vs 85.45%,P<0.05).During the nursing period,the complication rate in the experimental group was lower in both groups(P<0.05).Conclusion Seamless nursing under multidisciplinary cooperation could improve the rehabilitation effect,improve self-nursing ability,improve mental state and sleep,and reduce the risk of complications in patients with acute cerebral infarction,and approved by the patients.

关 键 词：多学科协作 无缝隙护理 急性脑梗死 取栓 生活自理能力 心理状态 

分 类 号：R473.74[医药卫生—护理学]