护理干预对急性脑梗死患者神经功能恢复和生活质量影响

目的：探讨护理干预对急性脑梗死患者神经功能恢复和生活质量的影响。方法：选取2012年1月—2013年1月来我院就诊的急性脑梗死患者110例为研究对象,采用自身对照研究法,对比护理前、后的生活质量、脑卒中神经功能缺损严重程度及卫生行为的变化。结果：110例急性脑梗死患者护理后的心理功能维度、躯体功能维度、社会功能维度及总分分值与护理前相比明显增高,经比较（t=4.886、7.254、6.335、7.172,P〈0.01）明显具有统计学差异。物质生活维度护理后与护理前相比,则（t=1.261,P〉0.05）无统计学差异。护理前NIHSS评分为（8.23±2.18）分,护理后NIHSS评分为（5.21±1.03）分,经比较（t=14.529,P〈0.01）明显具有统计学差异。护理后遵医用药、心理平衡、坚持锻炼、合理膳食情况明显优于护理前,经比较（χ2=11.364、10.691、9.321、10.665,P〈0.01）明显具有统计学差异。结论：护理干预可明显提高急性脑梗死患者的生活质量,改善不良的卫生行为,利于神经功能恢复。

Influence of Nursing Intervention on Quality of Life and Nerve Function in Patients with Acute Cerebral Infarction

Objective ： To investigate the effect of nursing intervention on nerve function in patients with acute cerebral infarction as well as the quality of life. Methods ： 110 cases of acute cerebral infarction patients in our hospital from January 2012 to January 2013 were chosen as the research objects, using their own control study method, comparison of nursing, quality of life, stroke severity and health behavior change. Results： 110 cases of psychological nursing in patients with acute cerebral infarction after dimension, physical function, social function dimensions scores and nursing of dimensions and total score were significantly higher and it was statistically different（t=4.886,7.254,6.335,7.172, P〈0.01） . The material life dimensions of nursing compared before, there was no significant difference （t=1.261, P〉0.05）. Before nursing, the NIHSS score was （8.23 ± 2.18）, after nursing, the NIHSS score was （5.21 ± 1.03）, it was statistically different （t=14.529, P〈0.01）. Nursing according to the medical and psychological balance, insisting to take exercise and reasonable diet were significantly better than nursing before, and the comparison was statistically different （χ2=11.364,10.691,9.321,10.665, P〈0.01） . Conclusion ： Nursing intervention can significantly improve the quality of life in patients with acute cerebral infarction and improve poor health behavior, and it is beneficial to the recovery of neural function.