摘要
目的:分析责任制护理干预对急性缺血性脑卒中患者介入术后并发症、睡眠质量及预后改善的作用。方法:选取2021年3月至2022年3月联勤保障部队第909医院收治的急性缺血性脑卒中介入患者198例作为研究对象,按照随机数字表法分为观察组(n=102)和对照组(n=96)。对照组给予常规护理干预,观察组采用责任制护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用Fugl-Meyer运动功能评定表(FMA)评估卒中患者的运动功能,采用改良Barthel指数(MBI)评估患者的日常生活活动能力,采用美国国立卫生研究院卒中量表(NIHSS)评估患者的神经功能指标的变化,采用脑卒中专用生命质量量表(SS-QOL)比较2组患者干预前后生命质量的变化,并比较2组患者的并发症发生率。结果:干预后,观察组PSQI评分、NIHSS评分均显著低于对照组,观察组FMA评分、MBI评分、SS-QOL评分显著高于对照组,观察组并发症发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:责任制护理干预可以减少急性缺血性脑卒中患者介入术后并发症发生率,提高患者睡眠质量和生命质量,改善患者的神经功能,提高患者的日常活动能力,值得临床推广应用。
Objective:To analyze the role of responsibility based nursing intervention in improving postoperative complications,sleep quality,and prognosis in patients with acute ischemic stroke.Methods:A total of 198 patients with acute ischemic stroke admitted to the Joint Logistics Support Force 909th Hospital from March 2021 to March 2022 were selected as the study subjects.They were randomly divided into an observation group(n=102)and a control group(n=96)using a random number table method.The control group received routine nursing intervention,while the observation group received responsibility based nursing intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention between two groups of patients.The Fugl-Meyer Assessment(FMA)was used to evaluate the motor function of stroke patients,the Modified Barthel Index(MBI)was used to evaluate their daily living activities,the National Institute of Health Stroke Scale(NIHSS)was used to evaluate the changes in neurological function indicators,and the Stroke Specific Quality of Life Scale(SS-QOL)was used to compare the changes in quality of life between two groups of patients before and after intervention,and the incidence of complications between the two groups of patients were compared.Results:After intervention,the PSQI score and NIHSS score of the observation group were significantly lower than those of the control group.The FMA score,MBI score,and SS-QOL score of the observation group were significantly higher than those of the control group.The incidence of complications in the observation group was significantly lower than that of the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:Responsibility based nursing intervention can reduce the incidence of postoperative complications in patients with acute ischemic stroke,improve their sleep quality and quality of life,improve their neurological function,and enhance their daily activity ability.It is worthy of clinical promotion and application.
作者
陈苗
陈陪能
张艺羡
甘艺红
黄雪娟
张秀霞
CHEN Miao;CHEN Peineng;ZHANG Yixian;GAN Yihong;HUANG Xuejuan;ZHANG Xiuxia(Joint Logistics Support Force 909th Hospital/Xiamen University Affiliated Southeast Hospital,Zhangzhou 363000,China)
出处
《世界睡眠医学杂志》
2024年第2期374-377,共4页
World Journal of Sleep Medicine
关键词
责任制护理干预
急性缺血性脑卒中
并发症
睡眠质量
神经功能
生命质量
日常能力
Responsibility based nursing intervention
Acute ischemic stroke
Complications
Sleep quality
Neurological function
Quality of life
Daily abilities
