基于目标管理理论的干预对急性脑梗死介入取栓患者术后康复效果的影响

目的 探讨基于目标管理理论的护理干预对急性脑梗死介入取栓患者术后康复效果的影响。 方法 将2016年7月-2017年10月(接受目标管理干预前)在笔者所在医院行急性脑梗死介入取栓的40例患者设为对照组,2017年11月-2018年10月(接受目标管理干预后)的40例患者设为研究组。对照组接受常规护理,研究组在对照组基础上接受基于目标管理理论的护理干预。采用美国国立卫生研究院卒中量表(national institutes of health stroke scale, NIHSS)、Flugl-meyer运动功能测评量表(Fugl-Meyer assessment scale, FMA)、Barthel指数及简明健康调查表(the MOS item short from health survey, SF-36)对2组进行评估,比较干预前后2组患者神经功能状态、肢体运动功能、日常生活能力及生活质量,并统计2组患者满意度。 结果 干预后研究组NIHSS得分低于对照组(t=5.460,P＜0.001),FMA以及Barthel指数得分均高于对照组(t=5.502,P＜0.001;t=4.294,P＜0.001)。研究组SF-36量表各维度得分均高于对照组(P＜0.001),患者对护理服务的满意度高于对照组(Z=-2.217,P=0.027)。 结论 对急性脑梗死行介入取栓的患者给予目标管理理论干预,可使护理计划更具科学性与针对性,有效促进患者神经功能及肢体功能恢复,改善患者生活质量,提高术后康复效果,具有较高的实践价值。

Effects of nursing intervention program based on the management by objectives on postoperative rehabilitation of patients with acute cerebral infarction undergoing the interventional thrombectomy

Objective To explore the effect of the nursing intervention program based on the management by objectives on the postoperative rehabilitation of acute cerebral infarction (ACI) patients undergoing the interventional thrombectomy. Methods Forty patients ACI patients undergoing the interventional thrombectomy between July 2016 and October 2017 were selected into a contorl group, while another 40 that between November 2017 and October 2018 were chosen into an reseach group. Both groups received routine nursing, while the reseach group was additionally provided with a nursing intervention based on the management by objectives. Before and after the intervention, both groups were evaluated the neurological function, limb motor function, activities of daily living and life quality using the national institutes of health stroke scale(NIHSS), Fugl-Meyer assessment scale (FMA), barthel index and the mos item short from health survey(SF-36). The patients' satisfaction with clinical nursing service was also observed. Results Before the intervention, there were no significant differences between the two group in all the measurements. However, after the intervention, the NIHSS of the observation group was significantly lower than that of the control group, while that of all the other measurements were significantly higher than that of the control group. Conclusion The introduction of management by objectives into the nursing of ACI patients can make the nursing plan more scientific and targeted, which effectively promotes the recovery of their neurological and limb function, improves their life quality and postoperative rehabilitation. Therefore, it is of high value in the clinical practice.