Effect of comprehensive nursing intervention on neurological function recovery in patients with ischemic stroke
SAN Jianchao1 LYV Zheng2▲
1.Department of Neurosurgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150000, China;
2.Recovery Unit, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150000, China
Abstract：Objective To investigate the effect of comprehensive nursing intervention on neurological function recovery in patients with ischemic stroke. Methods From July 2014 to February 2016, 106 patients with ischemic stroke treated in the First Affiliated Hospital of Harbin Medical University were selected as the research subjects and divided into the control group and the study group according to the random number table, with 53 cases in each group. The control group was given routine nursing intervention, while the study group was given comprehensive nursing intervention on the basis of the control group. The recovery of neurological function, the recovery of daily activiy and the incidence of nursing satisfaction were compared before and after the intervention of 1, 2, 4 weeks. Results After the intervention of 1, 2, 4 weeks, the scores of clinical neurological deficits were lower and the scores of daily activity ability were higher than those of before intervention, and the study group improved much more remarkably, with statistically significant differences (P ＜ 0.05). The total incidence of nursing satisfaction of the patient in the study group was higher than that of control group, with statistically significant difference (P ＜ 0.05). Conclusion Comprehensive nursing intervention can effectively promote the recovery of neurological function and motor function in patients with ischemic stroke, improve the nursing satisfaction and the prognosis of patients. It is worthy of clinical promotion and application.
伞建超1 吕政2▲. 综合护理干预对缺血性脑卒中患者神经功能恢复的影响[J]. 中国医药导报, 2018, 15(5): 144-147.
SAN Jianchao1 LYV Zheng2▲. Effect of comprehensive nursing intervention on neurological function recovery in patients with ischemic stroke. 中国医药导报, 2018, 15(5): 144-147.
[1] 刘莹，万丽红，李玲，等.缺血性脑卒中患者健康心理控制源及其相关因素调查分析[J].中国健康教育，2016，32（9）：822-825.
[2] 陈翠翠，韩强.院内一体化急救护理模式对急性缺血性脑卒中静脉溶栓效果的影响分析[J].中国急救复苏与灾害医学杂志，2016，11（6）：605-606.
[3] Zhang Q，Yang Y，Saver JL. Discharge destination after acute hospitalization strongly predicts three month disability outcome in ischemic stroke [J]. Restor Neurol Neurosci，2015，33（5）：771-775.
[4] 谢歌，于小萌，田惠杰.延续性护理在缺血性脑卒中病人中的应用效果[J].护理研究，2016，30（17）：2079-2082.
[5] Mokin M，Masud MW，Dumont TM，et al. Outcomes in patients with acute ischemic stroke from proximal intracranial vessel occlusion and NIHSS score below 8 [J]. J Neurointerv Surg，2014，6（6）：413-417.
[6] 杨云旭，李俊.综合护理干预对急性脑卒中患者神经功能恢复及护理满意度的影响[J].河北医学，2016，22（10）：1716-1719.
[7] Luengo-Fernandez R，Paul NL，Gray AM，et al. Population-based study of disability and institutionalization after transient ischemic attack and stroke：10-year results of the Oxford Vascular Study [J]. Stroke，2013，44（10）：2854-2861.
[8] 高帆.急诊护理路径在急性缺血性脑卒中患者院前急救中的应用[J].中国实用神经疾病杂志，2016，19（22）：139-140.
[9] McKay C，Hall AB，Cortes J. Time to Blood Pressure Control Before Thrombolytic Therapy in Patients With Acute Ischemic Stroke：Comparison of Labetalol，Nicardipine，and Hydralazine [J]. J Neurosci Nurs，2015，47（6）：327-332.
[10] 赵琼.强化疾病健康教育管理结合舒适护理服务对缺血性脑卒中患者及家属的影响[J].中国实用神经疾病杂志，2016，19（13）：132-134.
[11] 孙素娟，赵秀娟，赵景茹，等.非药物综合干预对缺血性脑卒中患者负性情绪的研究[J].河北医药，2016，38（20）：3185-3187.
[12] Schmidt A，Heroum C，Caumette D，et al. Acute Ischemic Stroke（AIS）patient management in French stroke units and impact estimation of thrombolysis on care pathways and associated costs [J]. Cerebrovasc Dis，2015，39（2）：94-101.
[13] O'Brien EC，Greiner MA，Xian Y，et al. Clinical Effectiveness of Statin Therapy After Ischemic Stroke：Primary Results From the Statin Therapeutic Area of the Patient-Centered Research Into Outcomes Stroke Patients Prefer and Effectiveness Research（PROSPER）Study [J]. Circulation，2015，132（15）：1404-1413.
[14] 单海茹，郑静霞，陈玉婷，等.中医适宜技术联合集束化护理对脑卒中患者呼吸机相关性肺炎的防治作用[J].海南医学，2016，27（16）：2737-2739.
[15] Shinohara Y，Inoue S. Cost-effectiveness analysis of the neuroprotective agent edaravone for noncardioembolic cerebral infarction [J]. J Stroke Cerebrovasc Dis，2013， 22（5）：668-674.
[16] 周子英，谢艳华，钟凤玲.早期康复护理对缺血性脑卒中偏瘫患者神经和运动功能恢复的影响[J].护理实践与研究，2017，14（7）：66-68.
[17] 谢薇，李永红，黄艳.社区缺血性脑卒中患者中医康复护理需求调查报告[J].贵阳中医学院学报，2015，37（6）：81-82，62.
[18] Luo H，Tang JY，Wong GH，et al. The Effect of Depressive Symptoms and Antidepressant Use on Subsequent Physical Decline and Number of Hospitalizations in Nursing Home Residents：A 9-Year Longitudinal Study [J]. J Am Med Dir Assoc，2015，16（12）：1048-1054.
[19] 王芳，于恺英.出院后持续性护理干预模式在缺血性脑卒中二级预防中的作用[J].中国慢性病预防与控制，2014， 22（3）：344-345.
[20] 陈爱红，曹利民，裴静波.早期康复护理干预对急性缺血性脑卒中患者治疗依从性、神经和生活质量的影响[J].中国医药导报，2014，11（22）：111-114.
2018, Vol. 15 
京公网安备 11010502046598号