通过动机保护理论指导护理干预后对脑梗死患者血液流变学指标及功能改善的影响  

Effect of Nursing Intervention Guided by Motivation Protection Theory on the Improvement of Hemorheological Indexes and Function in Patients with Cerebral Infarction

作　　者：雷玉珍 张红英 陈翠莲 LEI Yu-zhen;ZHANG Hong-ying;CHEN Cui-lian(Ningdu Hospital of Traditional Chinese Medicine,Ningdu,Jiangxi,342800,China)

机构地区：[1]江西省宁都县中医院,江西宁都342800

出　　处：《中国血液流变学杂志》2024年第4期656-660,共5页Chinese Journal of Hemorheology

摘　　要：目的探究动机保护理论指导护理在脑梗死患者中的临床应用效果。方法研究对象为2022年6月—2024年6月医院收治的94例脑梗死患者,分为对照组和干预组,对照组47例实施常规康复护理措施,干预组47例实施动机保护理论指导康复护理措施。对两组患者干预前、干预2周、4周后血液流变学指标、运动功能及并发症进行对比。结果两组患者干预前,血液流变学指标相比差异无统计学意义(P>0.05);干预4周后,干预组患者血浆黏度、红细胞压积、红细胞聚集指数等血液流变学指标低于对照组(P<0.05);运动功能评分组别×时间的交互作用差异有统计学意义(P<0.05);干预2周、4周后,干预组患者运动功能评分高于对照组(P<0.05);干预组患者并发症发生率(2.13%)低于对照组(17.02%)(P<0.05)。结论动机保护理论下康复护理有助于降低脑梗死患者血液流变学指标,改善运动功能,预防并发症。Objective To explore the clinical application effect of motivational protection theory guiding nursing in patients with cerebral infarction.Methods 94 patients with cerebral infarction admitted to the hospital from June 2022 to June 2024 were selected as the research objects.They were divided into control and intervention groups.47 patients in the intervention group received rehabilitation nursing measures informed by motivation protection theory,while 47 patients in the control group received regular rehabilitation nursing measures.Hemorheological indexes,motor function and complications of the two groups were compared before intervention,2 weeks and 4 weeks after intervention.Results Before intervention,there was no significant difference in hemorheological indexes between the two groups(P>0.05).Hemorheological indexes,such as plasma viscosity,hematocrit,and erythrocyte aggregation index,were lower in the intervention group after 4 weeks of treatment(P<0.05)than in the control group.There was significant difference in the interaction of group×time in motor function score.After 2 and 4 weeks of intervention,the motor function scores of patients in the intervention group were higher than those in the control group.The incidence of complications in intervention group(2.13%)was lower than that in control group(17.02%)(P<0.05).Conclusion Rehabilitation nursing under motivational protection theory is helpful to reduce the hemorheological indexes,improve motor function and prevent complications in patients with cerebral infarction.

关 键 词：脑梗死 动机保护理论 血液流变学指标 运动功能 并发症 

分 类 号：R473.5[医药卫生—护理学]