摘要
目的探讨急性脑梗死溶栓患者出院准备度的影响因素及协同护理干预策略应用效果。方法选择2018年2月—2021年12月本院收治的130例急性脑梗死溶栓患者作为研究对象,按出院准备是否充足分为观察组(出院准备不充足)与对照组(出院准备充足)两组,其中观察组41例,对照组89例。对出院准备度的影响因素进行单因素及多因素分析,并根据相关因素采取协同护理干预措施。结果急性脑梗死溶栓患者出院准备度与婚姻状况、文化程度、收入、是否合并基础疾病比较,差异有统计学意义(P<0.05);婚姻状况、文化程度、收入、是否合并基础疾病是影响急性脑梗死溶栓患者出院准备度评分的独立因素;急性脑梗死溶栓治疗干预后4周出院准备度量表、社会支持量表及出院指导质量量表评分均高于干预前,差异有统计学意义(P<0.05);Pearson相关分析显示院准备度评分与社会支持量表、出院指导质量量表评分之间存在正性相关关系(P<0.05)。结论社会支持度、出院指导质量、是否合并基础疾病是影响急性脑梗死溶栓患者出院准备度评分的高险影响因素,根据不同影响因素进行及早预防,对减少不良事件的发生具有重要价值,值得临床推荐使用。
Objective To investigate the influencing factors of hospital discharge readiness and the application effects of coordinated nursing intervention strategies in patients with acute cerebral infarction thrombolysis.Methods The 130 patients suffered with acute cerebral infarction and underwent thrombolysis in our hospital from February 2018 to December 2021 were enrolled as study subjects.According to their discharge readiness they were divided into observation group(inadequate discharge preparation)and control group(adequate discharge preparedness),and there were 41 cases in observation group and 89 cases in control group.Univariate and multivariate analysis were conducted on the influencing factors of discharge readiness,and coordinated nursing interventions were taken according to relevant factors.Results There were statistically significant difference marital status,education level,income,and whether or not combined with underlying diseases between the acute cerebral infarction patients underwent thrombolysis(P<0.05).Analysis results showed that marital status,education level,income,and whether or not combined with underlying diseases were independent factors affecting the discharge readiness score of acute cerebral infarction patients with thrombolysis.After 4 weeks of thrombolysis intervention the scores of discharge readiness scale,social support scale and discharge guidance quality scale were higher than those before intervention(P<0.05).Pearson correlation analysis showed that there was a positive correlation between hospital readiness score and social support scale and discharge guidance quality scale score(P<0.05).Conclusions Social support,quality of discharge guidance,and underlying diseases are high risk factors affecting the discharge readiness score of patients with acute cerebral infarction thrombolysis.Early prevention according to different influencing factors is of great value in reducing the occurrence of adverse events and it is worth of clinical recommendation.
作者
齐培培
李敏
孙艳超
Qi Peipei;Li Min;Sun Yanchao(Neurology department,Xuchang municipal hospital,Xuchang,Henan,461000,China)
出处
《齐齐哈尔医学院学报》
2022年第21期2083-2086,共4页
Journal of Qiqihar Medical University
关键词
急性脑梗死
溶栓
出院准备度
影响因素
协同护理
干预策略
Acute cerebral infarction
Thrombolysis
Discharge readiness
Influencing factors
Collaborative care
Intervention strategy
