前馈控制干预联合多学科团队协作护理在急性脑梗死介入治疗中的应用  

Application of feedforward control intervention combined with multidisciplinary team collaboration nursing in the interventional treatment of acute cerebral infarction

作　　者：王荣荣[1] 李婷[1] 张娜[1] 王霞[1] 许静[1] 柳乐 王俊 Wang Rongrong;Li Ting;Zhang Na;Wang Xia;Xu Jing;Liu Le;Wang Jun(Department of Emergency,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Critical Care Medicine,Xi'an Honghui Hospital,Xi'an 710000,China)

机构地区：[1]西安交通大学第一附属医院急诊科,西安710061 [2]陕西省西安市红会医院重症医学科,西安710000

出　　处：《保健医学研究与实践》2024年第11期99-104,共6页Health Medicine Research and Practice

基　　金：陕西省重点研发计划项目(2024SF-YBXM-525)。

摘　　要：目的探讨前馈控制干预联合多学科团队协作护理在急性脑梗死(ACI)介入治疗围手术期的应用效果,以期优化围手术期管理,提高护理质量,为ACI患者提供更为科学有效的护理方案。方法选取2020年7月—2022年8月于西安交通大学第一附属医院接受血管介入术治疗的206例ACI患者,采用随机数字表法分为对照组和观察组,每组103例。对照组患者实施常规围手术期护理,观察组患者在对照组基础上实施前馈控制干预联合多学科团队协作护理。比较2组患者的护理满意度、美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能评定量表(FMA)评分、日常生活活动能力指数(BI)评分、生活质量综合评定问卷(GQOLI-74)评分以及术后并发症发生情况等指标。结果干预前,2组患者NIHSS评分比较,差异无统计学意义(P>0.05);干预后,观察组患者NIHSS评分低于对照组,FMA及BI评分高于对照组,差异均有统计学意义(P<0.05)。观察组患者术后GQOLI-74的躯体功能、心理功能和社会功能3个维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者术后并发症发生率为18.44%(19/103),低于对照组的33.01%(34/103),差异有统计学意义(χ^(2)=5.716,P=0.017)。观察组患者用药指导、基础护理、治疗护理和心理护理4项护理满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论前馈控制干预联合多学科团队协作护理能够有效提高ACI患者的护理满意度,改善其神经和运动功能,并降低并发症发生风险。Objective To explore the application effect of feedforward control intervention combined with multidisciplinary team collaboration nursing in the periprocedural period of interventional treatment for acute cerebral infarction(ACI),aiming to optimize periprocedural management and strengthen nursing quality,and to provide a more scientific and effective nursing plan for ACI patients.Methods A total of 206 ACI patients who underwent vascular interventional surgery at the First Affiliated Hospital of Xi'an Jiaotong University from July 2020 to August 2022 were selected and assigned to a control group and an observation group,with 103 cases in each group.The control group received routine periprocedural nursing,while the observation group received feedforward control intervention combined with multidisciplinary team collaboration nursing based on the control group.The degree of satisfaction with nursing,National Institutes of Health Stroke Scale(NIHSS)score,Fugl-Meyer Motor Function Assessment Scale(FMA)score,Barthel Index(BI)score of Activities of Daily Living,Quality of Life Inventory(GQOLI-74)score,and postoperative complications were compared between the two groups.Results Before intervention,no significant difference was noted in the NIHSS score between the two groups(P>0.05);the NIHSS score in the observation group was significantly lower than that in the control group,while the FMA and BI scores were significantly higher than those in the control group after intervention(P<0.05).The scores of physical function,psychological function,and social function in the GQOLI-74 questionnaire of the observation group were significantly higher than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group[18.44%(19/103)vs.33.01%(34/103);χ^(2)=5.716,P=0.017].The scores of degree of satisfaction with nursing for medication guidance,basic nursing,treatment nursing,and psychological nursing in the observation group were signi

关 键 词：急性脑梗死 前馈控制 多学科协作 日常生活活动能力 神经功能 运动功能 并发症 

分 类 号：R473.74[医药卫生—护理学]