摘要
目的分析观察脑卒中继发癫痫患者采用综合护理干预措施取得的临床效果。方法2018年7月至2019年7月到我院治疗的88例脑卒中继发癫痫患者随机分为观察组和对照组,两组均为44例。观察组按照综合护理实施护理干预,对照组织按照常规的护理实施干预,对不同护理以后的效果进行统计和比较。结果①护理前,观察组与对照组在FMA和NIHSS评分方面的差异均不显著(P>0.05),护理后,观察组在FMA和NIHSS评分方面具有更高质量的改善,差异有统计学意义(P<0.05)。②护理前,两组患者在自我感觉状况的评分(身体情况、精神情况、自信心、环境情况评分)方面无明显差别(P>0.05),护理后,观察组在自我感觉状况评分方面的改善明显比对照组更占优势,差异有统计学意义(P<0.05)。③观察组(5例,11.36%)相比对照组(13例,29.55%)具有更低水平的并发症发生率,差异有统计学意义(P<0.05)。④护理前,两组患者的生活质量严重偏差,且差异不显著(P>0.05),护理后观察组患者的生活质量得到明显的恢复,相比对照组差异有统计学意义(P<0.05)。⑤观察组(41例,93.18%)患者护理以后对护理的满意度评估质量相比对照组(33例,75.00%)明显有更高标准,差异有统计学意义(P<0.05)。结论为脑卒中继发癫痫患者提供综合护理可有效的改善患者的运动功能和神经功能,提升自我感觉状态,降低并发症出现的概率,提高整体生活质量和满意度,值得推荐。
Objective To analyze and observe the clinical effect of comprehensive nursing intervention for patients with epilepsy secondary to stroke.Methods A total of 88 patients with epilepsy secondary to stroke who were treated in our hospital from July 2018 to July 2019 were randomly divided into an observation group and a control group,with 44 cases in both groups.The observation group implemented nursing intervention according to comprehensive nursing,and the control group implemented nursing intervention according to the routine nursing,and the effect of different nursing was calculated and compared.Results(1)Before nursing,there was no significant difference between the observation group and the control group in FMA and NIHSS scores(P>0.05).After nursing,the observation group had higher quality improvements in FMA and NIHSS scores,and the difference was statistically significant(P<0.05).(2)Before nursing,there was no significant difference in the scores of self-perception(physical condition,mental condition,self-confidence,and environmental condition)between the two groups of patients(P>0.05).The improvement of the self-perceived status score of the group was significantly more dominant than that of the control group,and the difference was statistically significant(P<0.05).(3)The observation group(5 cases,11.36%)was compared with the control group(13 cases,29.55%)had a lower level of complication rate,and the difference was statistically significant(P<0.05).(4)Before nursing,the quality of life of the two groups of patients was seriously deviated,and the difference was not significant(P>0.05).The quality of life of the patients in the observation group was significantly recovered,which was statistically significant compared with the control group(P<0.05).(5)The patients in the observation group(41 cases,93.18%)evaluated the quality of their satisfaction with nursing after nursing.Compared with the control group(33 cases,75.00%),the standard was significantly higher,and the difference was statistically significant(P<
作者
贾丽霞
JIA Lixia(Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2022年第12期37-40,共4页
Guide of China Medicine
关键词
综合护理干预
脑卒中继发癫痫
生活质量
满意度
神经功能
运动功能
Comprehensive nursing intervention
Epilepsy secondary to stroke
Quality of life
Satisfaction
Neurological function
Motor function
