摘要
目的:观察跟踪式护理在急性脑梗死取栓术后患者中的应用效果。方法:回顾性分析2018年6月至2021年6月该院收治的78例急性脑梗死取栓术患者的临床资料,按照入院顺序分成对照组和观察组各39例。对照组采用常规护理,观察组在对照组基础上采用跟踪式护理,比较两组护理前后神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、临床结局[改良Rankin量表(MRS)]、认知功能[简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)]评分、生命质量评分和依从性。结果:护理后,两组NIHSS和MRS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组MMSE和MoCA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);观察组依从性高于对照组,差异有统计学意义(P<0.05);护理后,两组活动能力、日常生活、健康意识、家庭与朋友支持、生命观各维度评分和总分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用跟踪式护理可降低急性脑梗死取栓术后患者NIHSS和MRS评分,提高MMSE评分、MoCA评分、生命质量评分和依从性,优于单纯常规护理效果。
Objective:To observe application effects of follow-up nursing in patients with acute cerebral infarction after thrombectomy.Methods:The clinical data of 78 patients with acute cerebral infarction who underwent thrombectomy in the hospital from June 2018 to June 2021 were retrospectively analyzed.They were divided into control group and observation group according to the order of admission,39 cases in each.The control group was given routine nursing,while the observation group was given the follow-up nursing on the basis of that of the control group.The neurological function[National Institutes of Health stroke scale(NIHSS)]score,the clinical outcome[Modified Rankin Scale(MRS)]score,the cognitive function[Mini Mental State Examination Scale(MMSE),Montreal Cognitive Assessment(MoCA)]scores,the quality of life score,and the compliance were compared between the two groups.Results:After the nursing,the NIHSS and MRS scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the MMSE and MoCA scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,after the nursing,the quality of life scores of activity ability,daily life,health feeling,family and friend support,view of life and the total score in the two groups were higher than those before the nursing,those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the follow-up nursing can reduce the NIHSS scores and the MRS scores of the patients with acute cerebral infarction after thrombectomy,and improve the MMSE score
作者
杨苗
YANG Miao(Nanyang First People’s Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第11期160-162,166,共4页
Medical Journal of Chinese People’s Health
关键词
跟踪式护理
急性脑梗死
取栓术
神经功能缺损
认知功能
依从性
生命质量
Follow-up nursing
Acute cerebral infarction
Thrombectomy
Neurological deficit
Cognitive function
Compliance
Quality of life
