基于质量反馈理论的护理干预对静脉溶栓脑梗死患者神经功能恢复及Barthel指数的影响  

Effect of Nursing Intervention Based on Quality Feedback Theory on Neurological Function Recovery and Barthel Index in Patients with Cerebral Infarction After Intravenous Thrombolysis

作　　者：游莎 YOU Sha(Department of Neurology,Yiyang County People′s Hospital,Yiyang 334400,Jiangxi,China)

机构地区：[1]弋阳县人民医院神经内科,江西弋阳334400

出　　处：《医学信息》2025年第3期161-164,共4页Journal of Medical Information

摘　　要：目的研究基于质量反馈理论的护理干预对静脉溶栓脑梗死患者神经功能恢复及Barthel指数的影响。方法选取2021年12月-2023年12月在我院进行静脉溶栓治疗的82例脑梗死患者为研究对象,采用随机数字表法分为对照组和观察组,各组41例。对照组采用常规护理,观察组采用基于质量反馈理论的护理干预。比较两组神经功能缺损评分(NIHSS)、日常生活能力水平(Barthel指数)、自我效能感(GSES)、护理满意度以及并发症发生率。结果与干预前比较,两组NIHSS评分均降低,且与对照组相比,观察组NIHSS评分更低(P<0.05);与干预前比较,两组Barthel指数均升高,且与对照组相比,观察组Barthel指数更高(P<0.05);与干预前比较,两组干预后GSES各维度评分升高,且与对照组相比,观察组GSES各维度评分更高(P<0.05);与对照组护理满意度的85.37%相比,观察组护理满意度为97.56%,其护理满意度更高(P<0.05);与对照组并发症发生率的17.07%相比,观察组并发症发生率为7.32%,其并发症发生率更低(P<0.05)。结论基于质量反馈理论的护理干预可促进静脉溶栓脑梗死患者神经功能恢复,提高Barthel指数、自我效能感以及护理满意度,降低并发症发生率,具有较理想的护理效果。Objective To study the effect of nursing intervention based on quality feedback theory on neurological function recovery and Barthel index in patients with cerebral infarction after intravenous thrombolysis.Methods A total of 82 patients with cerebral infarction who underwent intravenous thrombolysis in our hospital from December 2021 to December 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 41 patients in each group.The control group was given routine nursing,while the observation group was given nursing intervention based on quality feedback theory.The neurological deficit score(NIHSS),daily living ability(Barthel index),self-efficacy(GSES),nursing satisfaction and complication rate were compared between the two groups.Results Compared with before intervention,the NIHSS score of the two groups was decreased,and compared with the control group,the NIHSS score of the observation group was lower(P<0.05).Compared with before intervention,the Barthel index of the two groups was increased,and compared with the control group,the Barthel index of the observation group was higher(P<0.05).Compared with before intervention,the scores of each dimension of GSES in the two groups were increased after intervention,and the scores of each dimension of GSES in the observation group were higher than those in the control group(P<0.05).Compared with 85.37%of the nursing satisfaction in the control group,the nursing satisfaction in the observation group was 97.56%,and the nursing satisfaction in the observation group was higher(P<0.05).Compared with 17.07%of the incidence complications in the control group,the incidence of complications in the observation group was 7.32%,and the incidence of complications in the observation group was lower(P<0.05).Conclusion Nursing intervention based on quality feedback theory can promote the recovery of neurological function in patients with cerebral infarction after intravenous thrombolysis,improve Barthel

关 键 词：质量反馈理论 静脉溶栓 脑梗死 神经功能 BARTHEL指数 

分 类 号：R473.5[医药卫生—护理学]