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编号:13382208
急性脑梗死患者临床治疗过程中采用全程优质护理的效果观分析(1)
http://www.100md.com 2019年4月25日 《中外医疗》 2019年第12期
     [摘要] 目的 探討急性脑梗死患者临床治疗过程中采用全程优质护理的效果。 方法 方便选取该院2017年5月—2018年5月收治的急性脑梗死患者60例,将其随机分为两组,各30例。在临床治疗过程中,对照组采用常规护理,基于此观察组采用全程优质护理。比较两组护理前后NIHSS、SDS、SAS等评分变化、疗效、满意度及生存质量。 结果在NIHSS、SDS、SAS等评分方面,两组护理前对比差异无统计学意义(t=0.032 6、0.068 7、0.257 6,P=0.974、0.945、0.798);而护理后观察组分别为(4.3±1.5)分、(34.2±2.5)分、(54.6±3.8)分较对照组(7.8±2.1)分、(46.5±3.5)分、(45.6±3.2)分均显著降低(t=4.797 0、4.789 1、4.537 2,P=0.008、0.000、0.001)。在护理有效率上,观察组为93.33%,较对照组73.33%明显较高。在满意度上,观察组为96.67%,较对照组83.33%明显较高(χ2=9.886 4,P=0.000)。在生存质量上,观察组情感职能、生理功能、躯体功能、社会功能等评分分较对照组评分明显较高(t=8.351 5,7.214 4,8.541 6,4.208 0,P=0.000)。 结论 急性脑梗死患者临床治疗过程中采用全程优质护理的效果显著,即可有效改善患者神经功能和负性情绪,且可提升其满意度和生存质量,有利于患者预后恢复,因此值得临床应用推广。

    [关键词] 急性脑梗死;临床治疗;全程优质护理;效果观察

    [中图分类号] R473.74 [文献标识码] A [文章编号] 1674-0742(2019)04(c)-0144-03

    [Abstract] Objective To observe the effect of whole course quality nursing in the clinical treatment of patients with acute cerebral infarction. Methods A total of 60 patients with acute cerebral infarction admitted to our hospital from May 2017 to May 2018 were convenient randomly divided into two groups, 30 cases each. In the course of clinical treatment, the control group was given routine nursing, and the observation group was given whole course of high quality nursing. The changes of NIHSS, SDS and SAS scores, curative effect, satisfaction and quality of life before and after nursing were compared between the two groups. Results Before nursing, there was no significant difference in NIHSS, SDS and SAS scores between the two groups, (t=0.032 6, 0.068 7, 0.257 6, P=0.974, 0.945, 0.798). After nursing, the scores of the observation group were (4.3±1.5)points, (34.2±2.5)points, (54.6±3.8)points, which were lower than those of the control group (7.8±2.1)points, (46.5±3.5)points, (45.6±3.2)points, (t=4.797 0, 4.789 1, 4.537 2, P=0.008, 0.000, 0.001). The rate of nursing efficiency in the observation group was 93.33%, which was significantly higher than that in the control group (73.33%). The rate of satisfaction in the observation group was 96.67%, which was significantly higher than that in the control group (83.33%) (χ2=9.886 4, P=0.000). In terms of quality of life, the scores of emotional function, physiological function, physical function and social function in the observation group were significantly higher than those in the control group(t=8.351 5, 7.214 4, 8.541 6, 4.208 0, P=0.000). Conclusion The effect of whole course quality nursing in the clinical treatment of patients with acute cerebral infarction is remarkable. It can effectively improve the patients’ neurological function, negative emotions, satisfaction, quality of life, and prognosis. Therefore, it is worthy of clinical application and promotion., http://www.100md.com(姚绪华)
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