摘要
目的分析分层管理理论指导下的护理模式对于脑梗死患者的护理效果,探究该模式的护理价值。方法收集2020年1月至2021年12月期间商丘市第四人民医院收治的125例脑梗死患者的临床资料,进行回顾性分析,根据护理模式分为观察组(63例),对照组(62例)。对照组采用常规护理模式,观察组实施分层管理理论指导下的护理模式。护理一个月后,比较两组患者的睡眠情况,日常生活情况,统计患者住院时间,护理期间的并发症情况,及随访6个月内的复发情况。结果护理后,两组脑梗死患者的匹兹堡睡眠质量指数(PSQI)评分降低,且观察组PSQI评分较对照组低,差异有统计学意义(P<0.05);护理后,两组患者日常生活能力评定量表(Barthel)评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患者住院时间及半年内复发率均低于对照组,差异有统计学意义(P<0.05)。观察组护理期间出现1例肺部感染,2例尿路感染,对照组出现4例肺部感染,6例尿路感染;观察组并发症发生率为7.94%,低于对照组的20.97%,差异有统计学意义(P<0.05)。结论分层管理理论指导下的护理模式能够有效改善脑梗死患者的睡眠质量,提高患者日常生活活动的功能状态,减少住院时间,降低并发症及复发情况的发生,值得临床借鉴。
Objective To analyze the nursing effect of the nursing model under the guidance of hierarchical management theory on patients with cerebral infarction and explore the nursing value of this model.Methods The clinical data of 125 patients with cerebral infarction admitted to the Fourth People’s Hospital of Shangqiu City from January 2020 to December 2021 were collected and analyzed retrospectively.According to the nursing mode,they were divided into observation group(63 cases)and control group(62 cases).The control group adopted the conventional nursing mode,while the observation group adopted the nursing mode guided by the hierarchical management theory.After one month of nursing,the sleep and daily life of the patients in the two groups were compared,and the hospitalization time,complications during the nursing period and recurrence within 6 months of follow-up were counted.Results After nursing,the PSQI score of the two groups of patients with cerebral infarction decreased,and the PSQI score of the observation group was lower than that of the control group(P<0.05);After nursing,the scores of Barthel in the two groups increased,and the observation group was higher than that in the control group(P<0.05);The hospitalization time and recurrence rate in the observation group were lower than those in the control group(P<0.05).In the observation group,1 case of pulmonary infection and 2 cases of urinary tract infection occurred during the nursing period.In the control group,4 cases of pulmonary infection and 6 cases of urinary tract infection occurred;The complication rate of the observation group was 7.94%,lower than that of the control group(20.97%)(P<0.05).Conclusion The nursing model under the guidance of hierarchical management theory can effectively improve the sleep quality of patients with cerebral infarction,improve the functional status of daily living activities,reduce the length of hospitalization,and reduce the occurrence of complications and recurrence.It is worthy of clinical reference.
作者
张倩
ZHANG Qian(Department of nursing,Shangqiu Fourth People's Hospital,Shangqiu Henan 476000,China)
出处
《临床研究》
2022年第9期186-189,共4页
Clinical Research
关键词
分层管理理论
护理模式
脑梗死
hierarchical management theory
nursing mode
cerebral infarction
