基于目标管理理论的护理干预对脑卒中长期卧床肺部感染患者的效果研究

  目的  分析基于目标管理理论的护理干预对脑卒中长期卧床肺部感染患者的效果。  方法  选取2019年2月—2020年2月温州医科大学附属第二医院医学收治的脑卒中长期卧床肺部感染患者94例为研究对象，随机数字表法分为对照组47例，接受基础性护理，观察组47例在对照组基础上进行基于目标管理理论的呼吸康复护理，比较不同护理方式下患者护理依从度、生活质量评分。  结果  观察组患者护理依从度97.87%高于对照组85.11%，差异有统计学意义(χ2=4.918，P＜0.05)；观察组患者干预后知识掌握评分(75.16±1.52)分、信念态度评分(76.95±1.74)分、行动评分(79.25±1.68)分评分高于对照组(71.54±1.47)分、(69.56±2.42)分、(73.16±2.74)分, 均P＜0.05]；观察组患者干预后知识掌握度(23.68±2.45)分、护理技能(25.19±1.47)分、营养状况(24.10±0.98)分、意识状态(22.42±1.41)分高于对照组(18.16±1.84)分、(14.58±2.34)分、(16.82±1.76)分、(18.62±2.05)分，均P＜0.05]；2组护理前呼吸功能差异无统计学意义(P＞0.05)；干预后观察组患者呼吸功能指标明显优于对照组(P＜0.05)；观察组患者生活质量评分高于对照组(P＜0.05)。  结论  为脑卒中长期卧床肺部感染患者进行目标管理理论下护理可有效提升患者护理依从度，也可提升患者生活质量评分，有临床应用价值。 

Study on the effect of nursing intervention based on target management theory on stroke patients with long-term bedridden pulmonary infection

Objective To analyse the effect of nursing intervention based on target management theory on stroke patients with long-term bedridden pulmonary infection.Methods A total of 94 stroke patients with long-term lung infection,who were hospitalised in our hospital from February 2019 to February 2020,were selected as the research object.The patients were divided into two groups using the random number table method:47 cases in the control group(receiving basic nursing)and 47 cases in the observation group(based on respiratory rehabilitation nursing).Treatment adherence and quality-of-life scores were compared between the two groups.Results Nursing compliance of the observation group(97.87%)was higher than that of the control group(85.11%),which was statistically significant(χ²=4.918,P<0.05);knowledge mastery(75.16±1.52),belief attitude after intervention(76.95±1.74)and action(79.25±1.68)scores of the observation group were higher than those of the control group(71.54±1.47,69.56±2.42 and 73.16±2.74,respectively;all P<0.05).The Degree of knowledge mastery(23.68±2.45),nursing skills(25.19±1.47),nutritional status(24.10±0.98)and consciousness(22.42±1.41)scores of the observation group were higher than those of the control group(18.16±1.84,14.58±2.34,16.82±1.76 and 18.62±2.05;all P<0.05).The difference in respiratory function between the two groups before nursing was small(P>0.05).After intervention,the respiratory function indexes of the observation group were significantly better than those of the control group(P<0.05).The quality of life score of the observation group was higher than that of the control group(P<0.05).Conclusion Target management theory for stroke patients with long-term bedridden pulmonary infection can effectively improve the nursing compliance of patients,but also can improve the quality of life score of patients,which has clinical application value.