摘要
目的探讨优质护理服务在老年性脑梗死患者中的应用效果。方法选取2017年6月22日~2018年6月22日赣南医学院第一附属医院收治的120例脑梗死患者作为研究对象,按照计算机分组模式将其分为观察组(60例)与对照组(60例)。观察组患者采用优质护理服务,对照组患者采用常规护理。比较两组患者的日常生活能力量表(ADL)、简易智力状态检查量表(MMSE)、美国国立卫生研究院卒中量表(NIHSS)、洼田饮水试验、简易肢体运动功能(FUGL-MEYER)、藤氏吞咽障碍评分、意外事件总发生率及对护理态度、护理质量、护理操作技术、周围环境的满意度。结果观察组患者的ADL评分为(85.57±3.62)分,MMSE评分为(28.95±1.95)分,均高于对照组的(71.05±3.19)、(26.78±1.15)分,NIHSS评分为(2.51±0.33)分,低于对照组的(4.89±1.65)分,差异有统计学意义(P<0.05)。观察组患者的意外事件总发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。观察组患者对护理态度、护理质量、护理操作技术及周围环境的满意度分别为96.67%、95.00%、98.33%、96.67%,均高于对照组的75.00%、70.00%、76.67%、73.33%,差异有统计学意义(P<0.05)。观察组患者的洼田饮水试验评分为(1.41±0.33)分,低于对照组的(2.79±0.53)分,藤氏吞咽障碍评分为(7.13±0.84)分,FUGL-MEYER评分为(93.18±1.23)分,均高于对照组的(5.51±0.42)、(85.59±1.44)分,差异有统计学意义(P<0.05)。结论对脑梗死患者实施优质护理服务效果显著,不仅可减少意外事件发生,还能提高患者日常生活能力,减轻对脑组织的创伤性,提高患者的满意度。
Objective To explore the application effect of quality nursing service in patients with elderly cerebral infarction.Methods A total of 120 patients with cerebral infarction admitted to the First Affiliated Hospital of Gannan Medical University from June 22,2017 to June 22,2018 were enrolled in the study.The patients were divided into observation group(60 cases)and control group(60 cases)by the computer grouping mode.In the observation group,quality nursing service was adopted,and in the control group,routine nursing was used.The activity of daily living scale(ADL),mini-mental state examination(MMSE),national institute of health stroke scale(NIHSS),water swallowing test,simple limb motor function(FUGL-MEYER)and Caiteng′s dysphagia scores,total incidence rate of accidents and satisfaction on nursing attitude,nursing quality,nursing operation technique,the surrounding environment were compared in the two groups.Results The ADL score of the observation group was(85.57±3.62)points,the MMSE score was(28.95±1.95)points,which were higher than those in the control group for(71.05±3.19)and(26.78±1.15)points,and the NIHSS score of the observation group was(2.51±0.33)points,which was lower than that of the control group for(4.89±1.65)points,with statistically significant differences(P<0.05).The total incidence rate of accidents in the observation group was 3.33%,which was lower than that in the control group(26.67%),and the difference was statistically significant(P<0.05).The satisfaction on nursing attitude,nursing quality,nursing operation technique,the surrounding environment of the observation group was 96.67%,95.00%,98.33%,and 96.67%,respectively,which were higher than those of the control group accounting for 75.00%,70.00%,76.67%,and 73.33%,and the differences were statistically significant(P<0.05).The score of water swallowing test in the observation group was(1.41±0.33)points,which was lower than that in the control group for(2.79±0.53)points,the Caiteng′s dysphagia score was(7.13±0.84)points,and FUGL-ME
作者
谢桂兰
杨慧娟
邹琴娓
陈菁
王晓梅
XIE Gui-lan;YANG Hui-juan;ZOU Qin-wei;CHEN Jing;WANG Xiao-mei(Department of Neurology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou,341000,China)
出处
《中国当代医药》
2019年第33期219-222,共4页
China Modern Medicine
关键词
优质护理服务
脑梗死
满意度
意外事件
日常生活能力
Quality nursing service
Cerebral infarction
Satisfaction
Accidents
Activity of daily living
