摘要
目的研究急性缺血性脑卒中(AIS)患者静脉溶栓的围溶栓期护理方法。方法选取该院2018年1月—2020年6月收治的76例急性缺血性脑卒中患者按照随机抽签法分为对照组(38例)和干预组(38例),对照组进行常规护理,干预组进行针对性护理,对比两组患者的神经功能缺损评分(NIHSS评分)、并发症情况以及护理满意度。结果干预组治疗前NIHSS评分(36.15±10.84)分,对照组治疗前NIHSS评分(35.49±11.62)分,两组治疗前的NIHSS评分对比,差异无统计学意义(P>0.05);两组治疗后的NIHSS评分均降低,干预组治疗后24 h、3 d、7 d的NIHSS评分分别为(26.25±9.53)分、(22.59±8.27)分、(18.42±8.99)分,对照组治疗后24 h、3 d、7 d的NIHSS评分分别为NIHSS评分(31.21±8.40)分、(27.66±7.87)分、(22.95±7.06)分,干预组同时间段的NIHSS评分明显要较对照组低,差异有统计学意义(t=2.407、2.738、2.443,P<0.05)。干预组并发症的发生率为10.53%明显低于对照组的28.95%,差异有统计学意义(χ^(2)=4.070,P<0.05)。干预组的护理满意度为97.37%明显高于对照组78.95%,差异有统计学意义(χ^(2)=4.537,P<0.05)。结论急性缺血性脑卒中患者的围溶栓期进行针对性护理的效果明显,能有效地改善其神经功能的缺损程度,减少并发症,提升护理满意度,值得推广应用。
Objective To study the peri-thrombolytic nursing method for patients with acute ischemic stroke(AIS)intravenous thrombolysis.Methods A total of 76 patients with acute ischemic stroke admitted to the hospital from January 2018 to June 2020 were divided into a control group(38 cases)and an intervention group(38 cases)according to random drawing.The control group received routine nursing care,the intervention group carried out targeted nursing,and compared the neurological deficit score(NIHSS score),complications and nursing satisfaction of the two groups of patients.Results The pre-treatment NIHSS score of the intervention group was(36.15±10.84)points,and the pre-treatment NIHSS score of the control group was(35.49±11.62)points.There was no statistically significant difference in the comparison of the NIHSS scores between the two groups before treatment(P>0.05);the NIHSS scores of the two groups decreased after treatment.The NIHSS scores of the intervention group were(26.25±9.53)points,(22.59±8.27)points,and(18.42±8.99)points at 24 h,3 d,and 7 d after treatment.The NIHSS scores of the control group at 24 h,3 d and 7 d after treatment were NIHSS score(31.21±8.40)points,(27.66±7.87)points,(22.95±7.06)points,respectively.The NIHSS scores of the colleagues in the intervention group were significantly lower than those in the control group,and the difference was statistically significant(t=2.407,2.738,2.443,P<0.05).The incidence of complications in the intervention group was 10.53%significantly lower than that in the control group,the difference was statistically significant(χ^(2)=4.070,P<0.05).The nursing satisfaction rate of the intervention group was 97.37%significantly higher than that of the control group 78.95%,the difference was statistically significant(χ^(2)=4.537,P<0.05).Conclusion The effect of targeted nursing in patients with acute ischemic stroke during the perithrombolytic period is obvious,which can effectively improve the degree of neurological deficits,reduce complications,and improve nursing satisfaction.It is worthy of popularization and application.
作者
王伟梅
蒋桂霞
WANG Weimei;JIANG Guixia(Department of Neurology,Lianshui County People's Hospital,Lianshui,Jiangsu Province,223400 China)
出处
《系统医学》
2021年第17期190-193,共4页
Systems Medicine
关键词
急性缺血性脑卒中
静脉溶栓
围溶栓期
护理
Acute ischemic stroke
Intravenous thrombolysis
Perithrombolytic period
Nursing
