Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2022; 1: (6) ; 10.12208/j.jacn.20220260 .
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重庆医科大学附属巴南医院 重庆
*通讯作者: 董玉琴,单位:重庆医科大学附属巴南医院 重庆;
目的 为有效改善脑梗死静脉溶栓患者的病情,降低并发症发生风险,提高患者日常生活能力,对综合护理干预的应用效果作进一步探究,为临床提供有效参考依据。方法 回顾性分析2021年1月-2022年7月期间在本院接受治疗的脑梗死静脉溶栓患者作为研究对象,共计469例,按护理方法不同分为采用综合护理干预的观察组(n=235例)和采用常规护理干预的对照组(n=234例),对比两组患者治疗总有效率、生活能力、神经功能缺损程度评分及并发症发生率。结果 统计研究表明,观察组患者治疗总有效率明显高于对照组,生活能力、神经功能缺损程度评分较对照组更优,并发症发生率更低,组间数据差异明显,P<0.05,存在对比意义。结论 分析表明,综合护理干预对脑梗死静脉溶栓患者的并发症发生率有显著降低作用,有效提升患者的治疗效果,改善神经缺损症状及日常生活能力,护理效果显著,应用价值良好,对此护理方案建议大力推广应用。
Objective In order to effectively improve the condition of patients with cerebral infarction treated with intravenous thrombolysis, reduce the risk of complications, and improve their daily living ability, further explore the application effect of comprehensive nursing intervention, and provide effective reference for clinical practice. Methods Retrospective analysis was made on 469 patients with cerebral infarction who received intravenous thrombolytic therapy in our hospital from January 2021 to July 2022. According to different nursing methods, they were divided into the observation group (n=235 cases) with comprehensive nursing intervention and the control group (n=234 cases) with conventional nursing intervention. The total effective rate, living ability, neurological deficit score and complication rate of the two groups were compared. Results The statistical study showed that the total effective rate of patients in the observation group was significantly higher than that in the control group, and the score of living ability and neurological function defect was better than that in the control group. The incidence of complications was lower. There was significant difference between groups (P<0.05). Conclusion The analysis shows that the comprehensive nursing intervention can significantly reduce the incidence of complications in patients with cerebral infarction undergoing intravenous thrombolysis, effectively improve the treatment effect of patients, improve the symptoms of nerve defect and the ability of daily life, with significant nursing effect and good application value. It is suggested that this nursing program be vigorously promoted.
[1] 王立波. 护理干预在早期静脉溶栓治疗急性脑梗死中的疗效观察[J]. 中国医药指南,2019,17(10):242-243.
[2] 占小枚. 综合护理干预在老年急性脑梗死患者静脉溶栓治疗中的应用价值研究[J]. 中国医学创新,2022,19(17):99-102.
[3] 郝丹凤. 综合护理干预在脑梗死静脉溶栓患者中的应用观察[J]. 百科论坛电子杂志,2021(22):107.
[4] 杨静. 急性脑梗死患者静脉溶栓后采用综合护理干预的效果及预后[J]. 养生保健指南,2019(13):153.
[5] 王小霞. 护理干预对采取rt-PA静脉溶栓治疗的急性脑梗死患者的影响分析[J]. 心血管病防治知识,2021,11(17):80-82.
[6] 刘婷. 综合护理对静脉溶栓桥接动脉取栓急性脑梗死患者心理状况与预后的影响[J]. 实用临床护理学电子杂志,2019,4(17):43,59.
[7] 朱珠. 综合护理用于脑梗死静脉溶栓患者及对并发症发生率的影响[J]. 大健康,2021(31):84-86.
[8] 邱松旺. 急性脑梗死静脉溶栓病人进行综合护理干预的预后观察[J]. 心血管病防治知识,2020,10(5):63-65.
[9] 沈美秀,邵慧慧,薛梅. 急性脑梗死静脉溶栓治疗后的综合性护理干预疗效评价[J]. 临床医药文献电子杂志,2020,7(24):145,152.
[10] 萨日娜. 综合护理干预在急性脑梗死患者早期静脉溶栓治疗临床效果观察[J]. 世界最新医学信息文摘(连续型电子期刊),2019,19(57):354-355.