摘要
目的探究临床护理路径在缺血性脑卒中患者康复中的应用效果。方法92例缺血性脑卒中患者,依据随机数字表法分为A组和B组,每组46例。A组采用临床护理路径,B组患者接受常规护理措施。比较两组护理效果、护理满意度、日常生活能力量表(ADL)评分、简易智力状态检查量表(MMSE)评分。结果A组护理总有效率为93.47%,高于B组的78.26%,差异有统计学意义(P<0.05)。A组护理满意度为95.65%,高于B组的82.62%,差异有统计学意义(P<0.05)。护理后,两组ADL评分、MMSE评分均高于护理前,且A组ADL评分(68.65±3.86)分、MMSE评分(27.65±2.86)分均高于B组的(62.31±3.32)、(24.11±2.32)分,差异有统计学意义(P<0.05)。结论针对缺血性脑卒中患者,在其康复过程中应用临床护理路径能够提高患者护理效果,促进其日常行为能力恢复,并改善其认知障碍情况,患者更为满意,值得推荐。
Objective To investigate the practical effect of clinical nursing pathway in rehabilitation of patients with ischemic stroke.Methods A total of 92 patients with ischemic stroke were divided into group A and group B according to random numerical table,with 46 cases in each group.Group A was received clinical nursing pathway,and group B received conventional nursing.The nursing effect,nursing satisfaction,activities of daily living(ADL)score,mini mental state examination(MMSE)score were compared between the two groups.Results The total effective rate of nursing of group A was 93.47%,which was higher than 78.26%of group B,and the difference was statistically significant(P<0.05).The nursing satisfaction of group A was 95.65%,which was higher than 82.62%of group B,and the difference was statistically significant(P<0.05).After nursing,ADL score and MMSE score of the two groups were higher than those before nursing,and ADL score(68.65±3.86)points and MMSE score(27.65±2.86)points of group A were higher than(62.31±3.32)and(24.11±2.32)points of group B,and the difference was statistically significant(P<0.05).Conclusion For patients with ischemic stroke,clinical nursing pathway in the rehabilitation process can improve the nursing effect of patients,promote the recovery of their daily behavior ability,and improve their cognitive impairment.Patients are more satisfied,and this method is worthy of recommendation.
作者
吴春艳
WU Chun-yan(Department of Internal Medicine,Lingyuan Hospital of Traditional Chinese Medicine,Lingyuan 122500,China)
出处
《中国实用医药》
2020年第33期153-155,共3页
China Practical Medicine
关键词
缺血性脑卒中
临床护理路径
康复
日常生活能力
神经功能缺损
认知障碍
护理满意度
Ischemic stroke
Clinical nursing pathway
Rehabilitation
Activities of daily living
Neurological impairment
Cognitive impairment
Nursing satisfaction