|
|
|
| Application effect of clinical nursing pathway in rehablitation nursing for patients with ischemic stroke |
| LI Jinmei ZHOU Changmei▲ ZHANG Weiwei ZHANG Wan SHI Dandan WANG Hui HAN Hongle |
| Department of Neurology, Affiliated Hospital of Xuzhou Medical College, Jiangsu Province, Xuzhou 221000, China |
|
|
|
Abstract Objective To analyze the effect of clinical nursing pathway in the implementation of rehabilitation nursing for patients with ischemic stroke. Methods From April to September in 2017, in Department of Neurology, Affiliated Hospital of Xuzhou Medical College ("our hospital" for short), 120 patients with ischemic stroke were selected, according to random number table method, they were divided into two groups, with 60 cases in each group. The control group was treated with routine nursing intervention, the observation group was treated clinical pathway rehabilitation nursing intervention based on control group. The Bathel index (BI) was used to analyze the daily living ability of the patients, the Vada test score was used to evaluate the swallowing function before and after treatment, the Montreal Cognitive Assessment Scale (MoCA) was used to analyze the cognitive status of the patients after treatment. The HAMA and HAMD were used to analyze the depression and anxiety before and after nursing. The self-made nursing satisfaction scale of our hospital was used to investigate the nursing satisfaction of patients after nursing, stroke neurological deficits (CNS) and clinical dementia scores (CDR) before and after nursing were analyzed. Results After nursing, the scores of BI, Vada test score, MoCA, HAMA, HAMD and CNS, CDR of two groups were better than before nusing, and these of observation group were better than those of the control group, the differences were statistically significant (P < 0.05); after nursing, the nursing satisfaction rate of observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion For patients with ischemic stroke, in their rehabilitation care work, the application of clinical pathways contributes to cure of the disease, improve the quality of life of patients, it is worth further use.
|
|
|
|
|
|
[1] 吴逊.全国第四届脑血管病学术会议纪要[J].卒中与神经疾病，1997，4（2）：112-113.
[2] 曹慧婷.综合康复护理对缺血性脑血管病患者运动功能及生活质量的影响[J].中西医结合心血管病电子杂志，2016，4（29）：15-16.
[3] 国锋，郝迎翠.洼田氏饮水试验在脑卒中患者中的应用[J].齐鲁护理杂志，2016，22（17）：65-67.
[4] Nasreddine ZS，Phillips NA，Bédirian V，et al. The Montreal Cognitive Assessment，MoCA：a brief screening tool for mild cognitive impairment [J]. J Am Geriatr Soc，2005，53（4）： 695-699.
[5] 李丽娟.探讨脑卒中偏瘫患者应用康复护理干预对其生活质量的影响[J].世界中医药，2015，10（12）：1629-1630.
[6] 周晓娟，侯亚红，赵岳.连续康复护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响[J].护理实践与研究，2010，7（19）：6-8.
[7] 陈丙坤，张伟滨，吕政，等.早期康复护理干预在脑卒中偏瘫患者中的应用[J].中国医药导报，2017，14（8）：156-159.
[8] 王慧英，刘荣荣.脑卒中偏瘫患者早期康复护理干预效果观察[J].中华全科医学，2015，13（5）：845-846.
[9] 王珊珊，张振香，张艳. 社区脑卒中患者连续康复护理的影响因素研究[J].中国实用护理杂志，2016，32（12）：936-939.
[10] 周建梅，陈祢，王宝兰.专人早期康复护理对脑卒中偏瘫患者肢体功能及生活自理能力提高的影响效果[J].新疆医科大学学报，2016，39（8）：1062-1064.
[11] 赵琳，郭兵妹，高元鹏，等.运动想象疗法对脑卒中患者上肢远程康复护理的随机对照研究[J].中国实用护理杂志，2016，32（30）：2326-2330.
[12] 杨琼，王普清.中医结合康复护理对脑中风瘫痪患者运动功能恢复的影响[J].中华现代护理杂志，2016，22（7）：934-937.
[13] 李霞.临床护理路径在缺血性脑卒中康复中的应用[J].长治医学院学报，2015，29（1）： 54-56.
[14] 王圣燕.临床护理路径用于缺血性脑卒中患者康复护理中的疗效研究[J].中国卫生标准管理，2017，8（10）：143-144.
[15] 朱炳蓉.临床护理路径在缺血性脑卒中康复护理中的应用[J].中西医结合护理杂志，2015，1（2）：11-15.
[16] 李梅.临床护理路径在缺血性脑卒中康复护理中的应用[J].中国实用神经疾病杂志，2017，20（13）：114-116.
[17] 田英姿.临床护理路径应用于脑卒中康复患者的效果评价[J].中国医药指南，2014，12（3）：221-222.
[18] 李梅.临床护理路径在缺血性脑卒中康复护理中的应用[J].中国实用神经疾病杂志，2017，20（13）：114-116.
[19] 高健，张菊芬，李建，等.临床护理路径在脑卒中患者中应用效果的Meta分析[J].中华现代护理杂志，2015，21（3）：287.
[20] 郭亚君.临床护理路径在急性脑卒中患者院前急救中的应用[J].中国实用医药，2014，16（26）：223-225. |
|
|
|
