急性脑梗塞患者路径护理干预后临床效果及价值研究

Effect of path nursing intervention on NHISS score in patients with acute cerebral infarction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

陕西省人民医院神经外科 ;

摘要
摘要:目的:观察探讨应用路径护理干预对急性脑梗塞患者的临床疗效。方法:选取我院2013年10月-2015年12月收纳的98例急性脑梗塞患者,按随机分配原则分为观察组和对照组,各49例,观察组急性脑梗塞患者,在对照组基础治疗上,采取早期护理康复干预治疗,对照组急性脑梗塞患者,仅采取常规护理方法。以半年为一个疗程,连续进行一年。观察两组患者治疗前后NHISS评分变化情况来评估患者神经康复情况,在治疗确诊前后评估患者血清hs - CRP值分为确诊后1天,7天及30天。且记录治疗过程中是否出现不良反应。观察组颅内多发动脉瘤患者家属对护理工作的满意程度比例相较于采取传统方法的患者来说显著提高,为95.9% (P<0.05)。结果:两组急性脑梗塞患者在干预前及干预后14天NHISS评分均无显著变化,不具有统计学意义(P>0.05)。两组急性脑梗塞患者在干预后一个月NHISS评分有显著变化,具有统计学意义(P<0.05).两组急性脑梗塞患者在干预前及干预后14天血清hs - CRP值均无显著变化,不具有统计学意义(P>0.05)。两组急性脑梗塞患者在干预后一个月血清hs - CRP值有显著变化,具有统计学意义(P<0.05). 结论:路径护理干预对急性脑梗塞患者疗效显著,明显改善患者NHISS评分与血清hs - CRP值,修复患者神经系统缺损与受损程度,降低患者神经系统炎症反应,可显著改善患者脑梗死病情及治疗后情况变化。早期护理康复干预治疗急性脑梗塞患者的临床选择优势较高,无严重不良反应,值得临床上进一步推广应用。
Abstract
Objective: To observe the clinical effect of nursing intervention on NHISS score in patients with acute cerebral infarction.. Methods: selected in our hospital in October 2013 - 2015 years 12 month storage of 98 cases of acute cerebral infarction patients, according to the principle of randomized divided into observation group and control group, 49 cases in the observed group of patients with acute cerebral infarction, in the control group on the basis of therapy, take early rehabilitation nursing intervention, the control group of patients with acute cerebral infarction, only to take the routine nursing care. To half a course of treatment for a year of continuous. Observe the change of NHISS score before and after treatment in two groups to evaluate the patients with neurological rehabilitation, and to evaluate serum CRP HS before and after the treatment for 1 days, 7 days and 30 days after the diagnosis.. And whether the adverse reactions occurred during the course of treatment. Results: the two groups of acute cerebral infarction patients before and after the intervention for 14 days NHISS score were not significantly changed, not statistically significant (P>0.05). Two groups of patients with acute cerebral infarction after intervention in a month NIHSS score have significant changes, with statistical significance (P < 0.05). Two groups of patients with acute cerebral infarction in intervention before and after the intervention of 14 days of serum HS - CRP values were not significantly changed, does not have statistical significance (P > 0.05). Two groups of patients with acute cerebral infarction in a month after the intervention serum CRP - HS values were statistically significant (P < 0.05). Compared with the traditional methods, the satisfaction degree of the patients with multiple intracranial aneurysms in the observation group was significantly increased compared with the traditional methods, which was 95.9% (P < 0.05).Conclusion: nursing pathway intervention: there was significant difference in the curative effect on acute cerebral infarction patients, significantly improve the patients NIHSS score and serum HS - CRP values and repair in patients with nervous system defect and the extent of the damage, reduce patients with inflammatory reaction of the nervous system, can significantly improve the illness and treatment of the patients with cerebral infarction after the change. Early nursing rehabilitation intervention for patients with acute cerebral infarction clinical choice of higher, no serious adverse reactions, it is worthy of further clinical application and promotion.
关键词
[关键词] 路径护理干预;急性脑梗塞患者;NHISS评分;高敏C 反应蛋白
KeyWord
[keyword] path nursing intervention; acute cerebral infarction; NHISS score; high sensitivity C reactive protein
基金项目
页码 704-706
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鱼红*,张会仙,曹维娜,陈晓婷. 急性脑梗塞患者路径护理干预后临床效果及价值研究 [J]. 国际精神病学杂志. 2016; 43; (4). 704 - 706.

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