摘要
目的 探讨对老年脑梗死偏瘫患者实施阶段目标性护理干预的效果。方法 方便选取2020年1月—2022年12月泰兴市人民医院收治的110例老年脑梗死偏瘫患者为研究对象,按随机数表法分为对照组和观察组,各55例。对照组采用常规护理,观察组在对照组基础上联合阶段目标性护理干预,比较两组负性情绪、治疗依从性、肢体功能与自理能力。结果 干预后,观察组焦虑(40.08±3.76)分、抑郁(40.66±3.87)分,较对照组低,差异有统计学意义(t=8.165、9.240,P均<0.05)。观察组治疗依从性较对照组高(92.73%vs 76.36%),差异有统计学意义(P<0.05)。干预前,两组肢体运动功能评定量表(Fugl-Meyer Motor Function Assessment,FMA)与伯格平衡量表(Berg Balance Scale, BBS)比较,差异无统计学意义(P均>0.05);干预后,观察组各评分均较对照组高,差异有统计学意义(P均<0.05)。干预前,两组自理能力评分比较,差异无统计学意义(P>0.05);干预后,观察组自理能力评分较对照组高,差异有统计学意义(P<0.05)。结论 对老年脑梗死偏瘫患者实施阶段目标性护理干预,能改善老年患者负性情绪,提高治疗依从性,改善老年患者肢体功能并增强其自理能力。
Objective To explore the effect of targeted nursing intervention on elderly patients with cerebral infarction and hemiplegia.Methods A total of 110 elderly patients with cerebral infarction and hemiplegia treated in Taixing People's Hospital from January 2020 to December 2022 were selected conveniently as the study objects,and were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group received routine nursing,and the observation group combined with targeted nursing intervention on the basis of the control group.Negative emotion,treatment compliance,limb function and self-care ability were compared between the two groups.Results After intervention,anxiety scores(40.08±3.76)points and depression scores(40.66±3.87)points in the observation group were lower than those in the control group,and the differences were statistically significant(t=8.165,9.240,both P<0.05).The treatment compliance of the observation group was higher than that of the control group(92.73%vs 76.36%),and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference between Fugl-Meyer motor function assessment(FMA)and Berg Balance Scale(BBS)between the two groups(both P>0.05).After intervention,the scores of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).Before intervention, there was no significant difference in self-care ability scores between the two groups (P>0.05). After inter vention, the self-care ability score of the observation group was higher than that of the control group, and the differ ence was statistically significant (P<0.05). Conclusion The implementation of targeted nursing intervention for elderly patients with cerebral infarction hemiplegia can improve negative emotions, improve treatment compliance, improve limb function and enhance self-care ability of elderly patients.
作者
唐慧
翁霞美
TANG Hui;WENG Xiamei(Department of Neurology,Taixing People's Hospital,Taixing,Jiangsu Province,225400 China)
出处
《中外医疗》
2024年第5期173-176,181,共5页
China & Foreign Medical Treatment
关键词
脑梗死
偏瘫
阶段目标性护理干预
负性情绪
治疗依从性
自理能力
Cerebral infarction
Hemiplegia
Stage targeted nursing intervention
Negative emotions
Treatment compliance
Self-care ability
