摘要
目的本研究旨在探究脑心健康管理模式在急性大动脉闭塞性脑梗死血管再通患者中的应用效果。方法选取2021年7月至2023年6月在广西医科大学第七附属医院神经内科接受治疗的130例急性大动脉闭塞性脑梗死血管再通患者,采用随机数表法将其分为两组,每组各65例。对照组接受常规护理干预,观察组则在对照组基础上实施包括专业的脑心健康管理师全程介入术前后护理和二级预防措施的脑心健康管理模式。统计两组患者住院期间并发症以及出院6个月内复发情况,比较两组入院,出院,出院1、3、6个月后美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、日常生活能力评估,改良Barthel指数评定量表(BI)和药物依从度量表(MMAS-8)评分之间的差异性。结果观察组住院期间并发症发生率为3.08%,显著低于对照组的12.31%,差异有统计学意义(P<0.05)。与对照组相比,观察组术前措施落实率、术后措施落实率、健康宣教落实率和总体措施落实率方面均存在显著差异,差异有统计学意义(P<0.05)。此外,在出院时以及出院1、3、6个月后,观察组患者NIHSS评分、mRS评分、日常生活能力评估、BI、MMAS-8得分均高于对照组,差异有统计学意义(P<0.05)。而且,在出院6个月内,观察组复发率为4.62%,明显低于对照组的15.38%,差异有统计学意义(P<0.05)。结论本研究结果表明,应用脑心健康管理模式可以有效促进急性大动脉闭塞性脑梗死血管再通患者的神经功能恢复,提高其日常生活能力和服药依从性,改善预后,降低住院单位并发疾病发生率及出院单位复发率,提升护理满意度。
Objective To explore the application effect of brain-heart health management model in patients with acute large artery occlusive cerebral infarction and vascular recanalization.Methods From July 2021 to June 2023,130 patients with acute large artery occlusive cerebral infarction and vascular recanalization who were treated in the Department of Neurology,the Seventh Affiliated Hospital of Guangxi Medical University were selected and divided into two groups with 65 cases in each group by digital random table method.The control group received routine nursing intervention,while the observation group received a brain-heart health management model including professional brain-heart health manager’s whole-course intervention before and after operation and secondary preventive measures on the basis of the control group.The complications during hospitalization and the recurrence within 6 months after discharge of the two groups were counted,and the differences between the two groups were compared,including the National Institutes of Health Stroke Scale(NIHSS)score,modified Rankin scale(mRS)score,assessment of daily living ability,modified Barthel Index(BI)and morisky medication adherence scale-8(MMAS-8)score.Results The incidence of complications in the observation group was 3.08%,which was significantly lower than that in the control group(12.31%),with statistically significant difference(P<0.05).Compared with the control group,there were significant differences in the implementation rate of preoperative measures,postoperative measures,health education and overall measures in the observation group,with statistically significant difference(P<0.05).In addition,at the time of discharge and 1,3 and 6 months after discharge,the scores of NIHSS,mRS,assessment of daily living ability,modified BI and MMAS-8 in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Moreover,within 6 months after discharge,the recurrence rate in the observation group was 4.62%,which was significantly lower than that in the control group(15.38%),with statistically significant difference(P<0.05).Conclusion The results of this research show that the application of brain-heart health management model can effectively promote the recovery of neurological function of patients with acute large artery occlusive cerebral infarction and vascular recanalization,improve their daily living ability and medication compliance,improve their prognosis,reduce the incidence of complications in hospitalization units and the recurrence rate in discharge units,and enhance nursing satisfaction.
作者
潘锋
凌敏
梁炳松
彭立立
李培珍
廖林英
PAN Feng;LING Min;LIANG Bingsong;PENG Lili;LI Peizhen;LIAO Linying(Department of Neurology,the Seventh Affiliated Hospital of Guangxi Medical University,Guangxi,Wuzhou 543000,China)
出处
《中国医药科学》
2024年第14期89-93,共5页
China Medicine And Pharmacy
基金
广西壮族自治区卫生健康委员会科研课题(Z20211363)。
关键词
急性大动脉闭塞性脑梗死
血管再通
脑心健康管理师
神经功能
预后
Acute large artery occlusive cerebral infarction
Vascular recanalization
Brain-heart health manager
Neurological function
Prognosis
