个性化护理对急诊溶栓治疗性脑梗死后神经功能恢复的效果观察

目的:观察个性化护理对提高急性脑梗死急诊溶栓治疗后神经功能恢复的效果。方法:选取80例急性脑梗死患者为研究对象,根据随机数字表法分为观察组与对照组各40例,对照组予以基础护理,观察组予以个性化护理,比较两组护理前后神经功能缺损、生活能力及生命质量评分。结果:护理前,两组患者MESSS评分、NIHSS评分及ADL评分比较,差异均无统计学意义(P>0.05);护理后,两组患者MESSS评分、NIHSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,两组患者ADL评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组生理功能、情感职能、精神健康及社会功能评分比较,差异均无统计学意义(P>0.05);护理后,两组生理功能、情感职能、精神健康及社会功能评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:个性化护理能够促进急性脑梗死患者急诊溶栓治疗后的神经功能改善,提高生命质量,护理效果良好。

Observation of effects of individualized nursing on improving neurological function recovery after emergency thrombolytic therapy for acute cerebral infarction

Objective:To explore effects of individualized nursing on improving neurological function recovery after emergency thrombolytic therapy for acute cerebral infarction.Methods:Eighty patients with acute cerebral infarction were selected as the research objects,and they were divided into observation group(n=40)and control group(n=40)according to the random number table method.The control group was given basic care,while the observation group was given the individualized nursing.The neurological deficit,living ability and quality of life were compared between the two groups before and after the nursing.Results:Before the nursing,there were no significant differences in the MESSS score,NIHSS score,and ADL score between the two groups(P>0.05).After the nursing,the MESSS score and NIHSS score of the two groups were lower than those before the nursing;those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05).After the nursing,the ADL scores of the two groups were higher than those before the nursing;that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Before the nursing,there were no significant differences in the scores of physiological function,emotional function,mental health and social function between the two groups(P>0.05).After the nursing,the scores of physiological function,emotional function,mental health and social function of the two groups were higher than those before the nursing;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:Individualized nursing can promote the improvement of neurological function after emergency thrombolytic therapy in the patients with acute cerebral infarction,improve the quality of life and have a good nursing effect.