摘要
目的探讨循证综合护理干预对缺血性脑卒中患者情绪、认知功能及神经功能的影响。方法将120例缺血性脑卒中患者按随机数字表法分为观察组(60例)、对照组(60例)。对照组予以常规护理干预,观察组予以循证综合护理干预,观察4周。比较干预前后两组焦虑自评量表、抑郁自评量表、简易精神状态检查量表、美国国立卫生研究院卒中量表评分,统计两组并发症发生率及患者护理满意度。结果干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预1周末起两组简易精神状态检查量表评分均较干预前显著升高(P<0.01),且呈持续性升高趋势(P<0.01),观察组显著高于对照组(P<0.05或0.01)。干预1周末起两组美国国立卫生研究院卒中量表评分均较干预前显著降低(P<0.01),且呈持续性降低趋势(P<0.01),观察组显著低于对照组(P<0.01)。观察组并发症发生率显著低于对照组(P<0.05),护理总满意率显著高于对照组(P<0.01)。结论循证综合护理干预可有效缓解缺血性脑卒中患者的焦虑抑郁情绪,改善患者认知功能及神经功能,降低并发症发生率,提高护理满意度。
Objective To investigate the effect of evidence-based comprehensive nursing intervention on emotion,cognitive function and neurological function in patients with ischemic stroke.Methods A total of 120 patients with ischemic stroke were divided into observation group(60 cases)and control group(60 cases)according to random number table method.The control group received routine nursing intervention,and the observation group received evidence-based comprehensive nursing intervention for 4 weeks.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),mini-mental state examination(MMSE)and National Institute of Health stroke scale(NIHSS)were compared between the two groups before and after intervention,and the incidence of complications and nursing satisfaction of the two groups were calculated.Results After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).From the end of the first week of intervention,the MMSE scores of the two groups were significantly higher than those before the intervention(P<0.01),and showed a continuous upward trend(P<0.01).The observation group was significantly higher than the control group(P<0.05 or 0.01).From the end of the first week of intervention,the NIHSS scores of the two groups were significantly lower than those before the intervention(P<0.01),and showed a continuous downward trend(P<0.01).The observation group was significantly lower than the control group(P<0.01).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05),and the total satisfaction rate of nursing was significantly higher than that in the control group(P<0.01).Conclusions Evidence-based comprehensive nursing intervention can effectively relieve anxiety and depression in patients with ischemic stroke,improve their cognitive function and neurological function,reduce the incidence of complications,and improve nursing satisfaction.
作者
丁丽颖
孟萌
杜平
郝鹏
Ding Liying;Meng Meng;Du Ping;Hao Peng(The First Outpatient Department of Henan Province Directly Subordinate Agency,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第2期37-42,共6页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划项目(编号LHGJ20200688)。
关键词
缺血性脑卒中
循证护理
综合护理干预
情绪
认知功能
神经功能
ischemic stroke
evidence-based nursing
comprehensive nursing intervention
emotion
cognitive function
neurological function
