医院衰弱风险评分为导向的预见性干预对急性脑梗死患者NIHSS及ADL评分的影响  

Effects of predictive intervention guided by hospital frailty risk score on NIHSS and ADL scores in patients with acute cerebral infarction

作　　者：杨小莉 罗倩 YANG Xiaoli;LUO Qian(GEM Flower Xi'an Changqing Staff Hospital,Xi'an 710201,China)

机构地区：[1]西安宝石花长庆医院,陕西西安710201

出　　处：《临床医学研究与实践》2025年第8期162-165,共4页Clinical Research and Practice

摘　　要：目的探讨医院衰弱风险评分为导向的预见性干预对急性脑梗死(ACI)患者美国国立卫生院卒中量表(NIHSS)及日常生活活动能力量表(ADL)评分的影响。方法选取2022年1月至2023年1月本院收治的108例ACI患者作为研究对象,通过随机数字表法将其分为常规组和干预组,每组54例。常规组接受常规护理,干预组在常规护理基础上给予医院衰弱风险评分为导向的预见性干预。比较两组的并发症发生情况、神经功能、日常生活能力及护理满意度。结果干预组的并发症总发生率低于常规组,差异具有统计学意义(P<0.05)。干预前,两组的NIHSS、ADL评分比较,差异无统计学意义(P>0.05);干预后,干预组的NIHSS评分低于常规组,ADL评分高于常规组,差异具有统计学意义(P<0.05)。干预组的服务态度、服务内容、沟通技巧、健康宣教、护理效果评分高于常规组,差异具有统计学意义(P<0.05)。结论医院衰弱风险评分为导向的预见性干预可减少ACI患者的并发症,有效改善神经功能,提高日常生活能力及护理满意度,值得在临床中应用及推广。Objective To investigate the effects of predictive intervention guided by hospital frailty risk score on the National Institutes of Health Stroke Scale(NIHSS)and Activities of Daily Living Scale(ADL)scores in patients with acute cerebral infarction(ACI).Methods A total of 108 patients with ACI admitted in our hospital from January 2022 to January 2023 were selected as the research objects.The patients were divided into routine group and intervention group by random number table method,with 54 cases in each group.The routine group received routine nursing,and the intervention group was given predictive intervention guided by hospital frailty risk score on the basis of routine nursing.The incidence of complications,neurological function,daily living ability and nursing satisfaction were compared between the two groups.Results The total incidence of complications in the intervention group was lower than that in the routine group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in NIHSS and ADL scores between the two groups(P>0.05);after intervention,the NIHSS score of the intervention group was lower than that of the routine group,the ADL score was higher than that of the routine group,and the differences were statistically significant(P<0.05).The scores of service attitude,service content,communication skills,health education and nursing effect in the intervention group were higher than those in the routine group,and the differences were statistically significant(P<0.05).Conclusion Predictive intervention guided by hospital frailty risk score can reduce the complications of ACI patients,effectively ameliorate neurological function,improve daily living ability and nursing satisfaction.It is worthy of application and promotion in clinic.

关 键 词：急性脑梗死 医院衰弱风险评分 预见性干预 神经功能 日常生活能力 

分 类 号：R473[医药卫生—护理学]