摘要
目的探讨脑梗塞恢复期患者的更优护理模式,评价品管圈活动联合临床护理路径模式的应用价值。方法将2019年12月至2021年12月平顶山市第一人民医院神经内科住院病区的82例脑梗塞恢复期患者作为研究对象。采用随机排列法分为对照组(N=41)和研究组(N=41),对照组接受常规护理,研究组在对照组基础上开展品管圈活动联合临床护理路径,对比两组护理措施的应用效果。结果干预前两组患者的健康知识知晓度比较差异无统计学意义(P>0.05),干预后研究组健康知识知晓度明显高于对照组,差异有统计学意义(P<0.05)。护理后,两组Barthel指数(BI)、Fugl-Meyer肢体运动功能(FMA)评分均高于本组护理前,美国国立卫生研究院卒中量表(NIHSS)评分低于本组护理前,差异有统计学意义(P<0.05);研究组护理后BI指数、FMA评分评分均高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05);干预前两组患者生活质量评分对比无统计学意义(P>0.05);与干预前比较,干预后两组生活质量各评分均升高,但研究组评分的升高幅度明显大于对照组,差异有统计学意义(P<0.05)。研究组的满意度比对照组更高,差异有统计学意义(P<0.05)。结论实施品管圈活动联合临床护理路径是一种可行方案,因其能够加速脑梗塞患者肢体功能的恢复,同时提高患者日常生活能力和生活质量,提高患者满意度,临床干预效果显著。
Objective To discuss the application value of quality control circle and clinical nursing pathway,to explore better care model for convalescent stage of cerebral infarction patients.Methods A total of 82 cerebral infarction patients in convalescent stage admitted in our neurology department from December 2019 to December 2021 were selected as research samples.According to random permutation method,patients were divided into control group(N=41)and study group(N=41).The control group was served with routine care;on the basis of the former,the study group was served with quality control circle and clinical nursing pathway.The application effect of the two groups of nursing measures were compared.Results Before intervention,the health knowledge awareness rates between groups were not significantly different(P>0.05);After intervention,the health knowledge awareness rate in the study group was higher than control group,with statistically significant difference(P<0.05);After care,BI(Barthel index)and FMA(Fugl-Meyer Assessment)scores of two groups were significantly higher than before;NIHSS(national institute of health stroke scale)scores of two groups were lower than before,with statistically significant differences(P<0.05);After care,BI and FMA scores in the study group were even higher than control group,while NIHSS scores were even lower than control group,with statistically significant differences(P<0.05);Before intervention,the life quality scores between groups were not significantly different(P>0.05);After intervention,the life quality scores of two groups were significantly higher than before;however,the increase in the score of the study group was significantly higher than that of the control group,with statistically significant difference(P<0.05).The study group had a higher satisfaction rate than the control group,with statistically significant difference(P<0.05).Conclusion The quality control circle and clinical nursing pathway can promote the limb function recovery,and improve the daily living activity,life quality and clinical satisfaction for convalescent stage of cerebral infarction patients.The clinical intervention effect was remarkable.
作者
梁英
LIANG Ying(Department of Neurology,Pingdingshan First People’s Hospital,Pingdingshan Henan 467000,China)
出处
《临床研究》
2023年第1期136-139,共4页
Clinical Research
关键词
品管圈活动
临床护理路径
脑梗塞恢复期
quality control circle
clinical nursing pathway
convalescent stage of cerebral infarction
作者简介
梁英,女,主管护师,本科。研究方向:脑梗塞、脑出血护理方向。
