摘要
目的:观察循证理念指导下的风险预警护理在脑梗死卧床患者并发症预防中的应用效果。方法:选取2018年5月至2021年6月该院收治的60例脑梗死卧床患者进行前瞻性研究。按照随机数字表法分为观察组与对照组各30例,对照组采用常规护理,观察组采用循证理念的风险预警护理,比较两组并发症发生风险(Braden压疮危险评估表、下肢周径差)、神经功能缺损情况[美国国立卫生院脑卒中量表(NIHSS)]、日常生活能力[Barthel指数(BI)]、肢体功能[下肢Fugl-Meyer评定量表(FMA)]、肌肉力量[臀大肌、肱二头肌、斜方肌徒手肌力检查(MMT)]和并发症发生率。结果:护理后,两组NIHSS评分均低于护理前,且观察组低于对照组,两组BI评分、FMA评分、MMT评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:循证理念指导下的的风险预警护理应用于脑梗死卧床患者可降低NIHSS评分和并发症发生率,提高BI指数、FMA评分和MMT评分,优于常规护理效果。
Objective:To observe application effects of evidence-based concept-guided risk warning nursing in prevention of complications in bedridden patients with cerebral infarction.Methods:A prospective study was conducted on 60 bedridden patients with cerebral infarction admitted to this hospital from May 2018 to June 2021.According to the random number table method,they were divided into an observation group and a control group,30 cases in each.The control group was given routine nursing,while the observation group was given evidence-based concept-guided risk warning nursing.The risk of complications(Braden pressure ulcer risk assessment scale,lower extremity circumference difference)score,the neurological deficit[national institutes of health stroke scale(NIHSS)]score,the ability of daily living[Barthel index(BI)]score,the limb function[lower extremity Fugl-Meyer assessment(FMA)]score,the muscle strength[gluteus maximus,biceps brachii,trapezius unarmed manual muscle test(MMT)]score,and the incidence of complication were compared between the two groups.Results:After the nursing,the NIHSS scores of the two groups were lower than those before the nursing,and those of the observation group were lower than those of the control group;the BI index,FMA score and MMT score of the two groups were higher than those before the nursing,and those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based concept-guided risk warning nursing in the prevention of the complications in the bedridden patients with cerebral infarction can reduce the NIHSS scores and the incidence of complications,and improve the BI index,FMA scores and MMT scores.Moreover,it is superior to the routine nursing.
作者
李金鑫
韩静
LI Jinxin;HAN Jing(The Fourth Department of Neurology of the Second Hospital of Chaoyang,Chaoyang 122000 Liaoning,China)
出处
《中国民康医学》
2022年第17期162-165,共4页
Medical Journal of Chinese People’s Health
