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集束化护理在急性缺血性脑卒中患者介入术后的应用
Application of bundle care in acute ischemic stroke after interventional therapy

简静雯 杨晶晶 朱丽娟

Jian Jingwen, Yang Jingjing, Zhu Lijuan

【摘要】目的 探讨集束化护理对急性缺血性脑卒中介入术后患者日常生活能力、生活质量、神 经功能缺损及并发症的影响。方法 选取2015 年1 月—2017 年1 月浙江省温州市中心医院收治的急性 缺血性脑卒中介入治疗患者78 例,按照随机数字表法随机分为观察组和对照组,每组39 例。对照组采 用神经内科常规护理,观察组在此基础上配合集束化护理措施。采用Barthel指数量表、SF-36量表、脑卒 中量表(NIHSS)比较两组患者日常生活能力、生活质量、神经功能缺损及并发症发生情况。结果 干预 14 d后,观察组患者Barthel 评分(87.37±6.11)分,对照组(68.83±6.03)分,差异有统计学意义(t=-13.487, P < 0.01);观察组患者SF-36 量表总体健康评分(69.43±6.37)分,对照组(55.89±5.39)分,差异有统计 学意义(t=-10.133,P< 0.01);观察组患者NIHSS 评分(12.83±2.02)分,低于对照组,差异有统计学意义 (t=9.592,P < 0.01)。观察周期内,对照组并发症总发生率为33.33%,观察组为10.26%,差异有统计学 意义(χ2=6.093,P< 0.01)。结论 实施集束化护理可以改善急性缺血性脑卒中介入治疗患者的日常生 活能力和神经功能缺损情况,减少术后并发症的发生,提高患者生活质量。
【摘要】Objective To discuss the effects of bundle care on the activity of daily living, quality of life, neurological impairment and complications in patients after interventional therapy for acute ischemic stroke. Methods Totally 78 patients who received interventional therapy for acute ischemic stroke in Wenzhou Central Hospital between January 2015 and January 2017 were selected and randomly divided into an observation group( n=39) and a control group( n=39) according to the random number table. Patients in the control group received routine nursing in the Department of Neurology, while patients in the observation group were treated with bundle care measures on this basis. The Barthel Scale, SF-36 Scale and National Institutes of Health Stroke Scale( NIHSS) were used to compare the activity of daily living, quality of life, neurological impairment and complications between the patients in the two groups. Results After 14 days of intervention, the Barthel score of the patients in the observation group was( 87.37±6.11), while that of the patients in the control group was (68.83±6.03)( t=-13.487,P<0.01). The total score of the patients in the observation group for the dimension of health in the SF-36 Scale was( 69.43±6.37), while that of the patients in the control group was( 55.89±5.39) (t=-10.133,P<0.01). The NIHSS score of the patients in the observation group was( 12.83±2.02), lower than that of the patients in the control group( t=9.592, P<0.01). During the observation period, the total incidence of complications in the patients in the control group was 33.33%, while that of the patients in the observation group was 10.26%( χ2=6.093,P < 0.01). Conclusions Bundle care can improve the activity of daily living and address the neurological impairment in patients with acute ischemic stroke after interventional therapy, reduce the incidence of postoperative complications, and improve the patients' quality of life.

【关键词】生活质量; 急性缺血性脑卒中; 集束化护理; 介入术
【关键词】Quality of life; Acute ischemic stroke; Bundle care; Interventional therapy