EBN-5A框架护理干预在血运重建术后再发缺血性脑卒中老年患者中的应用  

Application of EBN-5A framework nursing intervention in elderly patients with recurrent ischemic stroke after revascularization

作　　者：赵秀霞 杜卫云 刘冉 刘辉 Zhao Xiuxia;Du Weiyun;Liu Ran;Liu Hui(The First Department of Neurosurgery,Zhumadian Central Hospital,Zhumadian 463000,China;Department of Nursing,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院神经外一科,驻马店463000 [2]驻马店市中心医院护理部,驻马店463000

出　　处：《中华现代护理杂志》2025年第10期1384-1387,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨EBN-5A框架护理干预在血运重建术后再发缺血性脑卒中老年患者中的应用效果。方法采用便利抽样法,选取2021年4月—2023年4月驻马店市中心医院收治的127例血运重建术后再发缺血性脑卒中老年患者为研究对象,依据随机数字表法将患者分为试验组(n=64)及对照组(n=63)。对照组给予传统神经内科护理模式,试验组在对照组基础上给予EBN-5A框架护理干预方案。比较两组患者临床症状改善率、颅内血运情况、脑卒中影响量表(SIS)评分。结果试验组临床改善率高于对照组,脑血流量、脑血容量均高于对照组,平均通过时间、时间至峰值均低于对照组,SIS评分高于对照组,差异均有统计学意义(P<0.05)。结论EBN-5A框架护理干预方案可以改善血运重建术后再发缺血性脑卒中老年患者临床症状、提高颅内血运、提高生活质量。Objective To explore the application effect of EBN-5A framework nursing intervention in elderly patients with recurrent ischemic stroke after revascularization.Methods Using the convenience sampling method,127 elderly patients with recurrent ischemic stroke after revascularization admitted to Zhumadian Central Hospital from April 2021 to April 2023 were selected as the research objects.According to the random number table method,the patients were divided into the experimental group(n=64)and the control group(n=63).The control group was given the traditional nursing mode of Neurology,and the experimental group was given the EBN-5A framework nursing intervention plan on the basis of the control group.The improvement rate of clinical symptoms,intracranial blood circulation,and Stroke Impact Scale(SIS)score were compared between the two groups.Results The clinical improvement rate of the experimental group was higher than that of the control group,the cerebral blood flow and cerebral blood volume were higher than those of the control group,while the mean transit time and time to peak were lower than those of the control group,the SIS score was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The EBN-5A framework nursing intervention plan can improve the clinical symptoms of elderly patients with recurrent ischemic stroke after revascularization,enhance the function of cranial blood vessels,improve the quality of life.

关 键 词：卒中 老年 5A护理 血运重建术 生活质量 

分 类 号：R47[医药卫生—护理学]