摘要
目的探讨团队资源管理模式护理干预对急性脑梗死患者神经功能、语言功能的影响。方法选择2019年2月~2020年3月于大连医科大学附属第一医院收治的80例急性脑梗死患者作为研究对象。按照随机数字表法分为观察者对照组,每组各40例。观察组进行团队资源管理模式护理管理,对照组则实施常规护理。比较两组临床救治效率指标;比较两组护理干预前后欧洲脑卒中(ESS)评分情况;比较两组护理干预前后语言能力变化情况;比较两组溶栓治疗护理干预过程中并发症发生情况。结果观察组确诊时间、应用溶栓药物时间短于对照组,差异有统计学意义(P<0.05);干预后,观察组ESS评分高于对照组,差异有统计学意义(P<0.05);观察组语言能力得分高于对照组,差异有统计学意义(P<0.05);溶栓治疗护理干预过程中,观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论针对急性脑梗死实施团队资源管理模式护理管理,能有效的缩短获得有效救治时间,改善患者神经功能预后,提高语言功能,减少并发症。
Objective To explore the influence of team resource management model nursing intervention on neurological function and language function of patients with acute cerebral infarction.Methods A total of 80 patients with acute cerebral infarction who were admitted to the First Affiliated Hospital of Dalian Medical University from February 2019 to March 2020 were selected as the research subjects.They were divided into an observer control group according to the random number table method,with 40 cases in each group.The observation group was given team resource management model nursing,while the control group was given routine nursing care.The clinical treatment efficiency indexes were compared between the two groups;the European stroke scores(ESS)before and after nursing intervention were compared between the two groups;the changes of language ability before and after nursing intervention in two groups were compared;the incidence of complications during the nursing intervention of thrombolytic therapy was compared between the two groups.Results The time of diagnosis and application of thrombolytic drug in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the ESS score in the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The language ability score in observation group was higher than that of control group,the difference was statistically significant(P<0.05).Dure that nursing intervention of thrombolytic therapy,the total incidence of complication in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of team resource management mode nursing management for acute cerebral infarction can effectively shorten the effective treatment time and improve the prognosis of patients'neurological function,so it can improve language function and reduce complications.
作者
徐慧敏
孙瑾
文娇
XU-Huimin;SUN-Jin;WEN-Jiao(Department of Neurology,the First Affiliated Hospital of Dalian Medical University Jinpu Campus,Liaoning Province,Dalian116000,China)
出处
《中国当代医药》
CAS
2021年第9期227-230,共4页
China Modern Medicine
关键词
团队资源管理模式
护理管理
急性脑梗死
神经功能
语言功能
Team resource management mode
Nursing management
Acute cerebral infarction
Neurological function
Language function
