摘要
目的探讨责任制护理应用于显微外科手术治疗脑卒中的效果。方法将2018年3月至2019年4月本院收治的124例脑卒中患者随机分成对照组和观察组,各62例。对照组给予常规护理,观察组在常规护理基础上实施责任制护理。比较两组患者护理干预前、后的NIHSS、HAMA、HAMD及Barthel指数评分。结果干预前,两组NIHSS、HAMA、HAMD和Barthel指数评分比较,差异无统计学意义(P>0.05);干预后,两组NIHSS、HAMA、HAMD评分均降低,Barthel指数评分升高,且观察组NIHSS、HAMA、HAMD评分低于对照组,Barthel指数评分高于对照组,差异具有统计学意义(P<0.05)。结论责任制护理能有效改善显微外科手术治疗脑卒中患者神经功能缺损程度,缓解不良心理状态,并提高其日常生活能力,值得临床推广。
Objective To explore the effect of responsibility nursing applied in stroke patients treated by microsurgery.Methods From March 2018 to April 2019, 124 stroke patients admitted in our hospital were randomly divided into control group and observation group, with 62 cases in each group. The control group was given routine nursing, and the observation group implemented responsibility nursing on the basis of routine nursing. The scores of NIHSS, HAMA,HAMD and Barthel index before and after nursing intervention were compared between the two groups. Results Before intervention, there were no significant differences in the scores of NIHSS, HAMA, HAMD and Barthel index between the two groups(P>0.05);after intervention, the scores of NIHSS, HAMA and HAMD in the two groups decreased, while the score of Barthel index increased, and the scores of NIHSS, HAMA and HAMD in the observation group were lower than those in the control group, the score of Barthel index was higher than that in the control group, the differences were statistically significant(P<0.05). Conclusion Responsibility nursing can effectively ameliorate the degree of neurological deficit in patients with stroke treated by microsurgery, alleviate bad psychological state, and improve their daily living ability, which is worthy of clinical promotion.
作者
杨莎
徐静
YANG Sha;XU Jing(Xianyang Central Hospital,Xianyang 712000;Ansai District People's Hospital,Yan'an 717400,China)
出处
《临床医学研究与实践》
2020年第3期164-166,共3页
Clinical Research and Practice
关键词
脑卒中
显微外科手术
责任制护理
心理状态
神经功能
stroke
microsurgery
responsibility nursing
psychological state
neurological function
