摘要
目的:对老年急性脑梗死(ACI)静脉溶栓病人构建基于时机理论的护理策略,并评价其应用效果。方法:行静脉溶栓治疗的老年ACI病人95例,按照入院时间分为对照组47例和观察组48例。对照组予常规护理,观察组采用基于时机理论的溶栓护理策略。比较2组溶栓后24h内血压变异、溶栓并发症、美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、日常生活活动能力(ADL)评分、3个月预后良好率、住院时间和住院费用。结果:2组牙龈出血发生率和出院时mRS评分差异均无统计学意义(P>0.05)。观察组24 h内血压变异、消化道出血和颅内出血发生率、出院时NIHSS评分、出院后3个月mRS评分、住院时间和住院费用均低于对照组(P<0.05~P<0.01)。观察组出院时和出院后3个月ADL评分以及预后良好率均高于对照组(P<0.05~P<0.01)。结论:基于时机理论的护理策略可有效降低老年ACI静脉溶栓病人血压变异,减少出血并发症,提高住院效率,改善预后,促进病人康复。
Objective:To construct nursing strategies based on timing theory for elderly patients with acute cerebral infarction(ACI)undergoing intravenous thrombolysis,and evaluate its application effect.Methods:A total of 95 elderly ACI patients treated with intravenous thrombolysis were divided into the control group(47 cases)and the observation group(48 cases).The control group received routine nursing,and the observation group received thrombolytic nursing strategies based on timing theory.The blood pressure variability within 24 hours after thrombolysis,thrombolytic complications,U.S.National Institutes of health stroke scale(NIHSS)score,modified Rankin scale(mRS)score,activities of daily living(ADL)score,3-month good prognosis rate,average length of stay and average hospitalization cost were compared between the two groups.Results:There was no significant difference in the incidence of gingival bleeding and mRS score at discharge between the two groups(P>0.05).The blood pressure variability within 24 hours,the incidence of gastrointestinal bleeding and intracranial hemorrhage,NIHSS score at discharge,mRS score at 3 months after discharge,average length of stay and average hospitalization cost in the observation group were lower than those in the control group(P<0.05 to P<0.01).The ADL ability and good prognosis rate in the observation group at discharge and 3 months after discharge were higher than those in the control group(P<0.05 to P<0.01).Conclusions:The nursing strategies based on timing theory can effectively reduce the blood pressure variability,reduce bleeding complications,improve hospitalization efficiency,improve prognosis and promote the rehabilitation of elderly ACI patients with intravenous thrombolysis.
作者
徐步
余传庆
朱蕾
陈静雅
XU Bu;YU Chuan-qin;ZHU Lei;CHEN Jing-ya(Department of Nursing,The First Affiliated Hospital of Anhui University of Science and Technology,Huainan First People′s Hospital,Huainan Anhui 232007;Department of Neurology,The First Affiliated Hospital of Anhui University of Science and Technology,Huainan First People′s Hospital,Huainan Anhui 232007;Medical College of Huainan United University,Huainan Anhui 232007,China)
出处
《蚌埠医学院学报》
CAS
2023年第9期1290-1294,共5页
Journal of Bengbu Medical College
基金
安徽省高校自然科学研究项目(KJ2019A0096)。
关键词
急性脑梗死
溶栓护理
时机理论
老年
acute cerebral infarction
thrombolytic nursing
timing theory
elderly
