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南阳市中心医院神经康复科
纸质出版日期:2022,
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牛园园, 吴红举, 孙新香. 莱温守恒模式护理干预对急性脑梗死患者神经功能及负性情绪的影响[J]. 保健医学研究与实践, 2022,19(2):93-96.
Niu Yuanyuan, Wu Hongju, Sun Xinxiang. Effects of nursing intervention based on Levin’s conservation model on the neurological function and negative emotions in patients with acute cerebral infarction[J]. Health Medicine Research and Practice, 2022,19(2):93-96.
牛园园, 吴红举, 孙新香. 莱温守恒模式护理干预对急性脑梗死患者神经功能及负性情绪的影响[J]. 保健医学研究与实践, 2022,19(2):93-96. DOI:
Niu Yuanyuan, Wu Hongju, Sun Xinxiang. Effects of nursing intervention based on Levin’s conservation model on the neurological function and negative emotions in patients with acute cerebral infarction[J]. Health Medicine Research and Practice, 2022,19(2):93-96. DOI:
目的探讨莱温守恒模式护理干预对急性脑梗死患者神经功能及负性情绪的影响。方法选取南阳市某医院2019年2月—2020年2月收治的急性脑梗死患者92例为研究对象
按照随机数字表法分为对照组和观察组
各46例。对照组患者给予常规护理干预
观察组患者在其基础上给予莱温守恒模式护理干预
2组患者均持续干预4周。比较2组患者干预前后中国卒中量表(CSS)、Fugl-Meyer运动功能量表(FMA)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分及改良Barthel指数(MBI)
比较2组患者的护理满意度、自我管理能力。结果干预前
2组患者CSS、FMA、MBI评分比较
差异均无统计学意义(P>0.05);干预后
2组患者CSS评分低于干预前
观察组低于对照组
差异均有统计学意义(P<0.05);干预后
2组患者FMA、MBI评分高于干预前
观察组高于对照组
差异均有统计学意义(P<0.05)。干预前
2组患者SDS、SAS评分比较
差异均无统计学意义(P>0.05);干预后
2组患者SDS、SAS评分低于干预前
观察组低于对照组
差异均有统计学意义(P<0.05)。干预后
观察组患者自我管理能力量表各维度评分均高于对照组
差异均有统计学意义(P<0.05);观察组患者护理总满意度为82.61%
高于对照组的54.35%
差异有统计学意义(P<0.05)。结论莱温守恒模式护理干预可有效改善急性脑梗死患者神经功能
缓解负性情绪
提高自我管理能力及满意度。
Objective To explore the effect of nursing intervention based on Levin’s conservation model on the neurological function and negative emotions in patients with acute cerebral infarction. Methods Ninety-two patients with acute cerebral infarction admitted to a hospital in Nanyang City from February 2019 to February 2020 were selected as study subjects and divided into control and observation groups using the random number table method
with 46 cases in each group. Patients in the control group were given conventional nursing intervention
and patients in the observation group were given nursing intervention based on Levin’s conservation model on its basis
and both groups received continuous intervention for 4 weeks. The Chinese Stroke Scale(CSS)
FuglMeyer Assessment(FMA)
Self-rating Depression Scale(SDS)
Self-rating Anxiety Scale(SAS) and Modified Barthel Index(MBI) scores of both groups were compared before and after the intervention
and the patients’ satisfaction with care and self-management ability were compared. Results Before the intervention
there was no statistically significant difference between the CSS
FMA and MBI scores of the two groups(P>0.05); after the intervention
the CSS scores of the two groups were lower than before the intervention
and the observation group was lower than the control group
with statistically significant differences(P<0.05); after the intervention
the FMA and MBI scores of the two groups were higher than before the intervention
and the observation group was higher than the control group
with statistically significant differences(P<0.05). Before the intervention
there was no statistically significant difference between the SDS and SAS scores of patients in the 2 groups(P>0.05); after the intervention
the SDS and SAS scores of patients in the 2 groups were lower than before the intervention
and lower in the observation group than in the control group
with statistically significant differences(P<0.05). After the intervention
the scores of indexes related to self-management ability of patients in the observation group were higher than those in the control group
and the differences were statistically significant(P<0.05); the total satisfaction with nursing care in the observation group was 82.61%
higher than that of 54.35% in the control group
and the difference statistically significant(P<0.05). Conclusion Nursing intervention based on Levin’s conservation model can effectively improve the neurological function of patients with acute cerebral infarction
relieve negative emotions
and improve their self-management ability and satisfaction.
急性脑梗死莱温守恒模式护理干预神经功能负性情绪
Acute cerebral infarctionNursing intervention based on levin’s conservation modelNeurological functionNegative emotion
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