责任制护理对脑血栓患者心理、神经功能及生活质量的影响

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摘要目的探讨责任制护理对脑血栓患者心理情绪、神经功能及生活质量的影响。方法分析2016年2月～2017年2月榆林市第二医院神经内科收治的200例脑血栓患者的临床资料，依据护理措施不同分为对照组（100例）和责任制护理组（100例）。采用焦虑自评量表检测焦虑情绪，抑郁评分量表检测抑郁情绪，NIHSS评分量表检测神经功能缺损，Barthel指数评分检测日常生活能力，生活质量评分量表评估生活质量。比较两组脑血栓患者护理前后焦虑情绪评分、抑郁情绪评分、神经功能缺损评分、Barthel指数评分、生活质量评分、护理后复发率和满意度情况。结果两组患者护理前焦虑情绪评分、抑郁情绪评分、神经功能缺损评分、Barthel指数评分、生活质量评分比较，差异无统计学意义（P > 0.05）。护理后，两组焦虑情绪评分、抑郁情绪评分、神经功能缺损评分均低于同组护理前，且责任制护理组低于对照组，差异有统计学意义（P < 0.05）；两组Barthel指数评分、生活质量评分高于同组护理前，且责任制护理组高于对照组，差异有统计学意义（P < 0.05）。责任制护理组患者复发率低于对照组，满意度高于对照组，差异有统计学意义（P < 0.05）。结论责任制护理在脑血栓患者中应用，可以降低焦虑情绪、抑郁情绪，恢复神经功能，提高生活质量和满意度，降低复发率。

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	薛花蕊贺爱霞▲

关键词 ：责任制护理, 脑血栓, 心理情绪, 神经功能, 生活质量

Abstract：Objective To arpproach influence of primary nursing on mentality, nerve function and life quality for cerebral thrombosis patients. Methods From February 2016 to February 2017, in Department of Neurology, the Second Hospital in Yulin City, the clinical data of 200 patients with cerebral thrombosis were analyzed and patients were divided into control group (100 cases) and primary nursing group (100 cases) by different nursing methods. The anxious was detected by self-rating anxiety scale, the depressed was detected by self-rating depressed scale, the nerve function defect was detected by NIHSS rating scales, the daily living activity was detected by Barthel index score, the life quality was detected by life quality rating scales. The anxious score, depressed score, nerve function defect score, Barthel index score, life quality score before nursing and after nursing, and the recurrence rate and satisfaction after nursing of two groups were compared. Results Before nursing, the anxious score, depressed score, nerve function defect score, Barthel index score, life quality score of patients in two groups before nursing were compared, the differences were not statistically significant (P > 0.05). After nursing, the anxious score, depressed score, nerve function defect score in two groups were lower than before nursing, and these in primary nursing group were lower than control group, the differences were statistically significant (P < 0.05). Barthel index score, life quality score in two groups were higher than before nursing, these in primary nursing group were higher than control group, the differences were statistically significant (P < 0.05). The recurrence rate in primary nursing group was lower than control group, the satisfaction rate was higher than control group, the differences were statistically significant (P < 0.05). Conclusion The application of primary nursing in cerebral thrombosis patients can decrease anxious, depressed, recove nerve function, increase life quality and satisfaction, decrease recurrence rate.

Key words： Primary nursing Cerebral thrombosis Mentality Nerve function Quality of life

通讯作者: ▲通讯作者

引用本文:

薛花蕊贺爱霞▲. 责任制护理对脑血栓患者心理、神经功能及生活质量的影响[J]. 中国医药导报, 2018, 15(23): 138-141.
XUE Huarui HE Aixia▲. Influence of primary nursing on mentality, nerve function and life quality for cerebral thrombosis patients. 中国医药导报, 2018, 15(23): 138-141.

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