基于变革理论的集束化护理对脑梗死患者认知功能、躯体功能及生活质量的影响  

Effects of cluster nursing based on change theory on cognitive function, physical function and quality of life in patients with cerebral infarction

作　　者：靳丽娜 JIN Lina(Xinmi Hospital of T.C.M,Xinmi 452370,China)

机构地区：[1]新密市中医院,河南新密452370

出　　处：《临床医学研究与实践》2025年第6期158-161,共4页Clinical Research and Practice

摘　　要：目的 探究基于变革理论的集束化护理对脑梗死患者认知功能、躯体功能及生活质量的影响。方法 将2020年10月至2021年10月我院诊治的50例脑梗死患者作为对照组,2021年11月至2022年10月我院诊治的50例脑梗死患者作为观察组。对照组接受常规护理,观察组接受基于变革理论的集束化护理。比较两组的干预效果。结果 干预后,观察组的总抗氧化能力(T-AOC)、超氧化物歧化酶(SOD)及过氧化氢酶(CAT)水平高于对照组,活性氧(ROS)水平低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的认知功能量表(FCI)各项评分及总分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的Sheikh躯干控制量表、脑卒中专门化生活质量量表(SS-QOL)评分高于对照组,差异具有统计学意义(P<0.05)。结论 基于变革理论的集束化护理能够减少脑梗死患者的氧化应激损伤,提升认知功能和躯体功能,提高生活质量。Objective To explore the effects of cluster nursing based on change theory on cognitive function,physical function and quality of life in patients with cerebral infarction.Methods A total of 50 patients with cerebral infarction diagnosed and treated in our hospital from October 2020 to October 2021 were included as control group,and 50 patients with cerebral infarction diagnosed and treated in our hospital from November 2021 to October 2022 were included as observation group.The control group received routine nursing,and the observation group received cluster nursing based on change theory.The intervention effects of the two groups were compared.Results After intervention,the levels of total antioxidant capacity(T-AOC),superoxide dismutase(SOD)and catalase(CAT)in the observation group were higher than those in the control group,the level of reactive oxygen species(ROS)was lower than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each item and total score of Force Concept Inventory(FCI)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Sheikh trunk control scale and Stroke-Specific Quality of Life(SS-QOL)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Cluster nursing based on change theory can reduce oxidative stress injury,improve cognitive function and physical function,and elevate quality of life in patients with cerebral infarction.

关 键 词：变革理论 集束化护理 脑梗死 认知功能 躯体功能 生活质量 

分 类 号：R473[医药卫生—护理学]