临床护理路径对脑梗死患者降低自我感受负担的效果研究  

Effect of clinical nursing pathway on reducing self-perceived burden in patients with cerebral infarction

作　　者：闵俊英 涂文萍 段海静 杨海兰 MIN Junying;TU Wenping;DUAN Haijing;YANG Hailan(Department of Quality Control,Jiangxi Integrated Traditional Chinese and Western Medicine Hospital,Nanchang,Jiangxi 330002,China)

机构地区：[1]江西省中西医结合医院质控科,江西南昌330002

出　　处：《现代医药卫生》2025年第4期940-943,共4页Journal of Modern Medicine & Health

基　　金：江西省卫生健康委员会科技计划项目(202311249)。

摘　　要：目的研究临床护理路径对脑梗死患者降低自我感受负担的实施效果。方法2023年1月至2024年5月该院神经内科住院符合纳入标准的脑梗死患者80例分为对照组和观察组,各40例。对照组实施常规护理30 d。观察组实施临床护理路径管理的个性化护理计划30 d。记录2组护理前后自我感受负担、慢性病自我效能、肌力、日常生活能力情况。结果2组患者护理前自我感受负担量表(SPBS)、慢性病自我效能量表、肌力分级、日常生活能力Barthel量表评分比较,差异无统计学意义(P>0.05)。护理后,2组患者SPBS评分降低,且观察组低于对照组[(22.38±4.07)分vs.(27.58±4.92)分],差异有统计学意义(P<0.001);护理后,2组慢性病自我效能量表[(7.48±0.69)分vs.(6.76±0.78)分]、Barthel量表评分[(70.75±11.91)分vs.(64.75±16.28)分]均有提高,且观察组高于对照组,差异有统计学意义(P<0.05);2组肌力分级比较,观察组明显优于对照组,差异有统计学意义(P<0.05)。结论临床护理路径在脑梗死患者降低自我感受负担的效果明显,并能通过降低患者自我感受负担,改善不良情绪而树立应对疾病信心,促进患者早康复,提高日常生活能力。Objective To explore the implementation effect of clinical nursing pathway in reducing self-perceived burden in patients with cerebral infarction.Methods A total of 80 patients with cerebral infarction admitted to the neurology department from January 2023 to May 2024 were selected as the research subjects and randomly divided into the control group and the observation group,each with 40 cases.The control group received conventional nursing for 30 days.The observation group implemented individualized nursing plan based on the clinical nursing pathway for 30 days.The self-perceived burden(SPBS),self-efficacy for chronic disease,muscle strength,and daily living ability of the two groups were recorded before and after nursing.Results There were no significant differences in the scores of SPBS,self-efficacy for chronic disease,muscle strength grading,and Barthel index scores of daily living ability between two groups before nursing(P>0.05).After nursing,the SPBS scores of both groups were decreased,and the observation group was lower than the control group[(22.38±4.07)points vs.(27.58±4.92)points],the difference was statistically significant(P<0.001).After nursing,self-efficacy for chronic disease[(7.48±0.69)points vs.(6.76±0.78)points]and Barthel index scores of daily living ability[(70.75±11.91)points vs.(64.75±16.28)points]in both groups were improved,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).The muscle strength classification of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical nursing pathway has a obvious effect on reducing self-perceived burden in patients with cerebral infarction,and can establish confidence in coping with the disease by reducing the perceived burden of patients and improving bad emotions,promote early recovery of patients and improve their daily life ability.

关 键 词：脑梗死 自我感受负担 临床护理路径 

分 类 号：R473[医药卫生—护理学]