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河南省人民医院脑血管病一病区
纸质出版日期:2022,
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王丞迪, 行君. 基于质量控制理论的护理干预在急性脑梗死介入治疗中的应用研究[J]. 保健医学研究与实践, 2022,19(3):71-74.
Wang Chengdi, Xing Jun. Appl ication of nursing interventions based on quality control theory in the interventional treatment of acute cerebral infarction[J]. Health Medicine Research and Practice, 2022,19(3):71-74.
目的 分析基于质量控制理论的护理干预在急性脑梗死(ACI)介入治疗中的应用效果。方法 选取2019年2月—2020年1月郑州市某医院收治的87例急性脑梗死患者为研究对象
根据不同护理方式将其分为研究组(n=52)和对照组(n=35)。对照组患者给予常规护理
研究组患者在对照组护理基础上给予基于质量控制理论的护理干预
2组患者均持续护理至出院。比较2组患者护理前后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、生活质量[SF-36健康调查简表(SF-36)评分]
比较2组患者并发症发生情况及护理满意度。结果 护理前
2组患者NIHSS评分比较
差异无统计学意义(P
>
0.05);护理后
2组患者NIHSS评分均低于护理前
研究组低于对照组
差异均有统计学意义(P
<
0.05)。研究组患者并发症发生率为5.77%
低于对照组的20.00%
差异有统计学意义(χ
2
=4.154
P=0.041)。护理前
2组患者SF-36评分比较
差异无统计学意义(P
>
0.05);护理后
2组患者SF-36评分均高于护理前
研究组高于对照组
差异均有统计学意义(P
<
0.05)。研究组患者护理满意度为96.15%
高于对照组的82.86%
差异有统计学意义(χ
2
=4.230
P=0.035)。结论在ACI患者介入治疗中应用基于质量控制理论的护理干预
可有效改善患者神经功能及生活质量
降低术后并发症发生概率
提高患者对护理工作的满意度
值得在临床上推广应用。
Objective To analyze the effect of nursing interventions based on quality control theory in the interventional treatment of acute cerebral infarction(ACI).Methods Eighty-seven patients with acute cerebral infarction admitted to a hospital in Zhengzhou from February 2019 to January 2020 were selected for the study and divided into a study group(n=52) and a control group(n=35) according to the nursing method employed.Patients in the control group were given conventional nursing interventions
and patients in the study group received nursing interventions based on quality control theory in addition;both groups received continual nursing until discharge.The neurological functions [National Institutes of Health Stroke Scale(NIHSS)] and quality of life [the Short Form-36(SF-36)] were compared between the 2 groups of patients before and after nursing interventions;the occurrence of complications and the satisfaction with nursing were also compared.Results Before the interventions
there was no statistically significant difference between the NIHSS scores of patients in the 2 groups(P>0.05);after the interventions
the NIHSS scores of patients in the 2 groups were lower than before the interventions and lower in the study group than in the control group
with statistically significant differences(P<0.05).The complication rate of patients in the study group was 5.77%
which was lower than that of 20.00% in the control group
and the difference was statistically significant(χ~2 =4.154
P=0.041).Before the interventions
there was no statistically significant difference between the SF-36 scores of patients in the 2 groups(P>0.05);after the interventions
the SF-36 scores of patients in both groups were higher than before the intervention and higher in the study group than in the control group
with statistically significant differences(P<0.05).The rate of satisfaction with nursing in the study group was 96.15%
which was higher than that of 82.86% in the control group
and the difference was statistically significant(χ~2=4.230
P=0.035).Conclusion The application of nursing interventions based on quality control theory in the interventional treatment of ACI patients can effectively improve patients’ neurological functions and quality of life
reduce the probability of postoperative complications
and increase patients’ satisfaction with nursing care
which makes it worthy of wider application in clinical practice.
质量控制理论急性脑梗死患者介入治疗神经功能生活质量
Quality control theoryAcute cerebral infarction patientsInterventional treatmentNeurological functionQuality of life
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