基于风险预警的护理在重症脑梗死患者中的应用效果  

Application effect of nursing intervention based on risk warning in patients with severe cerebral infarction

作　　者：王平 WANG Ping(Department of Critical Care Medicine,Wuwei Tumour Hospital,Wuwei,Gansu 733000,China)

机构地区：[1]武威肿瘤医院重症医学科,甘肃武威733000

出　　处：《医药前沿》2025年第6期118-120,124,共4页Journal of Frontiers of Medicine

摘　　要：目的分析基于风险预警的护理在重症脑梗死(SCI)患者中的应用效果。方法选取2023年1月-2024年1月武威肿瘤医院收治的97例SCI患者,采用随机数字表法分为对照组(n=48)和观察组(n=49)。对照组实施常规护理,观察组实施基于风险预警的护理干预。比较两组神经功能、认知功能、自我护理能力及不良反应发生情况。结果护理前,两组美国国立卫生院卒中量表(NIHSS)、简易精神状态量表(MMSE)评分及自我护理能力测定量表(ESCA)各维度评分比较,差异均无统计学意义(P>0.05);护理后,两组NIHSS评分低于护理前,MMSE评分高于护理前,对照组护理技能、护理责任感评分高于护理前,观察组ESCA各维度评分均高于护理前,且观察组NIHSS评分低于对照组,MMSE及ESCA各维度评分均高于对照组(P<0.05);观察组不良反应总发生率低于对照组(P<0.05)。结论基于风险预警的护理干预能够有效促进SCI患者的神经和认知功能恢复,降低不良反应发生率,提高其自我护理能力。Objective To analyze the effect of nursing intervention based on risk warning in patients with severe cerebral infarction(SCI).Methods A total of 97 patients with SCI admitted to Wuwei Tumour Hospital from January 2023 to January 2024 were selected and the participants were randomized into a control group(n=48)and an intervention group(n=49)using a random number table.The control group receivd standard care and the intervention group implemented risk-warning-informed nursing protocols.Comparative analysis evaluated intergroup differences in neurological status,cognitive performance,functional independence,and adverse event profiles.Results Before implementing the nursing protocols,baseline assessments revealed no statistically significant differences between the two groups in National Institute of Health Stroke Scale(NIHSS)scores,Mini-Mental State Examination(MMSE)scores,or any dimensions of the Exercise of Self-Care Agency(ESCA)(all P>0.05).After nursing,the NIHSS scores of the two groups were lower than those before nursing,and the MMSE scores were higher than those before nursing,the scores of nursing skills and nursing responsibility in the control group were higher than those before nursing,the ESCA scores of the observation group were higher than those before nursing,and the NIHSS scores of the observation group were lower than those of the control group,and the MMSE and ESCA scores were higher than those of the control group(P<0.05).Furthermore,the optimized nursing approach significantly mitigated treatment-related adverse events,lower incidence rate compared to conventional methods(P<0.05).Conclusions Nursing intervention based on risk warning can effectively promote the recovery of neurological and cognitive functions in patients with SCI,reduce the incidence of adverse reactions,and improve their self-care ability.

关 键 词：重症脑梗死 风险预警护理 神经功能 认知功能 自我护理能力 不良反应 

分 类 号：R473[医药卫生—护理学]