摘要
目的探讨急性脑梗死(ACI)患者介入治疗期间质量控制理论下护理干预的应用效果。方法选取2019年2月至2021年12月海南省人民医院接受介入治疗的120例ACI患者为研究对象,采用随机数字表法将其分为常规组和干预组,每组60例。常规组给予常规护理干预,干预组在常规护理基础上行基于质量控制理论的护理干预。比较两组并发症(皮疹、脑出血、静脉血栓等)发生情况、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、护理满意度情况(自拟满意度问卷调查表)改善情况等。结果护理后,干预组脑出血、穿刺部位皮下血肿、过渡灌注综合征发生率均低于常规组,差异有统计学意义(P<0.05);两组NIHSS评分低于干预前,且干预组低于常规组,差异有统计学意义(P<0.05);干预组护理满意度评分高于常规组,差异有统计学意义(P<0.05)。结论ACI患者介入治疗期间实施基于质量控制理论的护理干预,可明显减少介入治疗并发症,促进患者神经功能更好地改善,提升患者护理满意度。
Objective To explore the application effect of nursing intervention in interventional treatment of acute cerebral infarction(ACI)under quality control theory.Methods A total of 120 patients with ACI received interventional therapy in Hainan Provincial People’s Hospital from February 2019 to December 2021 were selected as study subjects.The patients were divided into routine group and intervention group by random number table method,with 60 cases in each group.The routine group was given routine nursing intervention,and the intervention group was given nursing intervention based on quality control theory on the basis of routine nursing,the incidence of complications(rash,cerebral hemorrhage,venous thrombosis,etc.),neurological function(National Institutes of Health stroke scale[NIHSS]),and nursing satisfaction(self-designed satisfaction questionnaire),etc.were compared between the two groups.Results After nursing,the incidence of cerebral hemorrhage,subcutaneous hematoma at puncture site,and transition perfusion syndrome in intervention group was lower than that in conventional group,and the differences were statistically significant(P<0.05),NIHSS scores of the two groups were lower than those of before intervention,and the intervention group was lower than the conventional group,the differences were statistically significant(P<0.05).The nursing satisfaction score of intervention group was higher than that of conventional group,and the difference was statistically significant(P<0.05).Conclusion The implementation of nursing intervention based on quality control theory during the interventional therapy of ACI patients can significantly reduce the complications of interventional therapy,promote better improvement of patients’neurological function,and improve patients’nursing satisfaction.
作者
肖淑立
刘启慧
夏梦迪
吴月福
XIAO Shuli;LIU Qihui;XIA Mengdi;WU Yuefu(Department of Cerebrovascular Disease,Hainan Provincial People’s Hospital,Hainan Province,Haikou570311,China)
出处
《中国医药导报》
CAS
2023年第8期176-179,共4页
China Medical Herald
关键词
急性脑梗死
介入治疗
护理
质量控制理论
神经功能
并发症
Acute cerebral infarction
Interventional therapy
Nursing
Quality control theory
Neurological function
Complication
