综合护理模式在急性缺血性脑卒中动脉介入治疗中的应用

Peng Zhang, M. Xie, Xiaoshuang Dai
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摘要

目的:探讨综合护理模式在急性缺血性脑卒中动脉介入治疗中的应用。方法:将2019年1月~ 2019年12月行介入手术的急性缺血性脑卒中患者218例随机分为对照组(常规护理模式,n=109)和研究组(综合护理模式,n=109)。对照组采用常规护理模式,如基础护理、生活护理、安全护理等。研究组采用综合护理模式。在实施护理措施前,对患者的生命体征、意识状态、操作过程、精神状态进行综合评价,了解患者的实际需求。在患者护理过程中,通过实时观察和评估,以多学科合作模式实施综合护理。根据美国国立卫生研究院卒中量表(NIHSS),分别在干预后和干预后1周对两组患者进行评分,比较两组患者的神经功能。结果:实验组干预后1周NIHSS评分低于对照组,差异有统计学意义(P < 0.05)。研究组患者临床康复效果优于对照组。结论:综合护理模式可改善患者预后,值得在临床推广。
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Application of Comprehensive Nursing Mode in Patients with Acute Ischemic Stroke After Intra-arterial Intervention
Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode,n=109) and a study group (comprehensive nursing mode,n=109). The control group adopts conventional nursing mode, such as basic nursing, life nursing, safety nursing, etc. The research group adopts the comprehensive nursing mode. Before the implementation of nursing measures, the patients' vital signs, state of consciousness, operation process and mental state are comprehensively evaluated to understand the actual needs of the patients. In the course of patient care, through real-time observation and evaluation, in a multidisciplinary cooperative mode to implement integrated care. According to the National Institutes of Health Stroke Scale (NIHSS), the two groups of patients were scored respectively after intervention and 1 week after intervention in order to compare the neurological function of them. Results: The NIHSS score of the study group 1 week after intervention was lower than that of the control group, and the difference was statistically significant (P < 0.05). Patients in the study group achieved better clinical rehabilitation effect than those in the control group. Conclusion: The comprehensive nursing mode can improve the prognosis of patients, which is worthy of promotion in clinical practice.
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