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脑梗死并发心理障碍患者采用多学科协作护理新模式效果观察 被引量:26

Clinical efficiency of multidisciplinary cooperative nursing care in patients with cerebral infarction complicated by psychological disorder
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摘要 目的探讨脑梗死多并发症的护理新模式。方法脑梗死伴有心理障碍的患者100例,随机分为试验组和对照组,每组50例,对照组采用对症常规护理模式,试验组采用多学科协作护理新模式随访12周。用Fugl-Meyer评分与Barthel指数对2组患者的活动能力进行比较;用情绪状态量表(POMS)对患者情绪进行评价;用改良Rankin残障量表评分(mRS)评价患者预后;并用酶联免疫吸附法测定2组患者干预后血清炎性因子[白介素-2(IL-2)、IL-6、肿瘤坏死因子(TNF-α)、超敏C-反应蛋白(hs-CRP)]水平。结果试验组Fugl-Meyer评分与Barthel指数均明显较对照组为优,差异有统计学意义(P<0.05);观察组患者情绪状态量表中总分显著优于对照组,差异有统计学意义(P<0.05);观察组患者治疗后mRS评分优于对照组,差异有统计学意义(P<0.05);治疗后观察组血清中炎性因子hsCRP、IL-2、IL-6、TNF-α低于对照组,差异有统计学意义(P<0.05)。结论多学科协作护理干预可以使患者的心理障碍明显改善,有利于疾病的恢复,是值得尝试的护理新模式。 Objective To explore an new nursing model in patients with cerebral infarction complicated by psychological disorder. Methods A total of 100 patients patients with cerebral infarction complicated by psychological disorder who were treated in our hospital from July 2012 to January 2016 were randomly divided into experimental group( n =50) and control group( n = 50). The patients in control group were treated by symptomatic routine nursing model,however,the patients in experimental group were treated by multidisciplinary cooperative nursing care mode,with 12-week follow up for both groups. The activity ability,emotional status and the prognoses of patients were assessed by Fugl-Meyer score + Barthel index,emotional state scale( POMS) and improved Rankin Disability Scale( mRS),respectively. Moreover the serum levels of inflammatory cytokines after intervention including interleukin( IL-2,IL-6),tumor necrosis factor( TNF-α),high sensitivity C-reactive protein( hs-CRP) were detected by enzyme linked immunosorbent assay( ELISA). Results The Fugl-Meyer scores and Barthel index in experimental group were superior to those in control group( P〈0. 05). The total scores of emotional state in observation group were superior to those in control group( P〈0. 05). The mRS scores in observation group were superior to those in control group( P〈0. 05). Moreover the serum levels of hs-CRP,IL-1 2,IL-6,TNF-α after nursing intervention in observation group were significantly lower than those in control group( P〈0. 05). Conclusion The multidisciplinary cooperative nursing care can obviously improve psychological disorder of patients with cerebral infarction complicated by psychological disorder,which is beneficial to the recovery of disease,thus,which is worth trying in clinical practice.
机构地区 廊坊长征医院
出处 《河北医药》 CAS 2018年第2期302-305,共4页 Hebei Medical Journal
基金 河北省廊坊市科技局课题(编号:2015013019)
关键词 脑梗死 多并发症 心理护理 护理探索 cerebral infarction multiple complications psychological nursir^g nursing exploration
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