摘要
目的探讨基于循证理念的精准护理对脑梗死患者神经功能、认知功能、心理状态及运动能力的影响。方法选取2019-06—2022-06宣城市人民医院神经内科收治的脑梗死患者70例为研究对象,采用随机数字表法分为常规护理组(n=35)与循证精准护理组(n=35)。常规护理组给予常规护理,循证精准护理组在常规护理的基础上实施基于循证理念的精准护理,2组均干预至患者出院,比较2组患者干预前后美国国立卫生研究院卒中量表(NIHSS)评分、中文版简易智力状态检查量表(MMSE)评分、简化Fugl-Meyer运动功能量表(FMAS)评分、非精神科住院患者心理状态评定量表(MSSNS)评分。随访3个月,统计2组患者出院后不良反应发生率,采用卒中影响量表(SIS)评估患者出院后的整体恢复情况。结果干预后2组MMSE评分均升高,且循证精准护理组高于常规护理组,差异均有统计学意义(P<0.05);2组FMAS、MSSNS评分均升高,且循证精准护理组高于常规护理组,差异均有统计学意义(P<0.05)。出院3个月后循证精准护理组不良反应发生率为2.86%(1/35),低于常规护理组的22.86%(8/35),差异有统计学意义(χ^(2)=4.590,P=0.032)。2组SIS评分均高于干预前,且循证精准护理组高于常规护理组,差异均有统计学意义(P<0.05)。结论基于循证理念的精准护理有助于促进脑梗死患者神经功能、认知功能及肢体功能的恢复,缓解负性情绪,降低出院后不良事件的发生率,具有较高的临床价值。
Objective To explore the effect of evidence-based precision nursing on neurological function,cognitive function,mental state and motor ability of patients with cerebral infarction.Methods Seventy patients with cerebral infarction admitted to the Department of Neurology,Xuancheng People's Hospital from June 2019 to June 2022 were selected as the study subjects.They were divided into the conventional nursing group(n=35)and the evidence-based precision nursing group(n=35)by random number table.The conventional nursing group was given routine nursing,and the evidence-based precision nursing group was given precision nursing based on evidence-based concept on the basis of routine nursing.Both groups intervened until the patients were discharged.The scores of National Institute of Health stroke scale(NIHSS),mini-mental state examination(MMSE),Fugl-Meyer assessment scale(FMAS)and mental status scale in non-psychiatric settings(MSSNS)were compared before and after intervention.After following-up of 3 months,the incidence of adverse reactions after discharge of the two groups was counted,and the overall recovery of the patients after discharge was assessed by the stroke impact scale(SIS).Results After intervention,the MMSE scores of both groups increased,and the evidence-based precision nursing group was higher than the conventional nursing group,with significant differences between the two groups(P<0.05).The FMAS and MSSNS scores of both groups increased,and the evidence-based precision nursing group was higher than the conventional nursing group,with significant differences between the two groups(P<0.05).Three months after discharge,the incidence of adverse reactions in the evidence-based precision nursing group was 2.86%(1/35),lower than the 22.86%(8/35)in the conventional nursing group,there was a significant difference between the two groups(χ^(2)=4.590,P=0.032).The SIS score of the two groups was higher than that before the intervention,and the evidence-based precision nursing group was higher than that of the conventional nursing group,there was a significant difference between the two groups(P<0.05).Conclusion Precision nursing based on evidence-based concept can promote the recovery of neurological function,cognitive function and limb function of patients with cerebral infarction,relieve their negative emotions,and reduce the incidence of adverse events after discharge,which has high clinical value.
作者
王洁
丁龙姣
周梅
WANG Jie;DING Longjiao;ZHOU Mei(Xuancheng People's Hospital,Xuancheng 242000,China)
出处
《中国实用神经疾病杂志》
2023年第11期1428-1432,共5页
Chinese Journal of Practical Nervous Diseases
基金
2020年度安徽省自然科学基金项目(编号:2008085QH376)。
关键词
脑梗死
循证理念
精准护理
神经功能
心理状态
Cerebral infarction
Evidence-based concept
Precision nursing
Nerve function
Mentality
作者简介
通信作者:王洁。
