医护一体化护理流程在超急性期脑梗死患者静脉溶栓中的应用

发布时间：2017-12-28 10:43

本文关键词：医护一体化护理流程在超急性期脑梗死患者静脉溶栓中的应用　出处：《实用临床医药杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨医护一体化护理流程在超急性期脑梗死患者静脉溶栓中的应用效果。方法将2015年1—12月收治的31例超急性期脑梗死患者设为实验组,采用医护一体化护理流程。收集2014年5—12月经传统救治模式进行静脉溶栓的31例超急性期脑梗死患者为对照组,比较2组患者在溶栓前及溶栓后行为生活质量水平(NIHSS评分评价)、痴呆(MMSE评分评价)及抑郁(CES-D评分评价)的情况。结果实验组和对照组在溶栓前NIHSS评分、MMSE评分及CES-D评分均无显著差异(P0.05);2组NIHSS评分在溶栓后24 h、溶栓后15 d、溶栓后1个月差异有统计学意义(P0.05);2组MMSE评分在溶栓后24 h无统计学意义(P0.05),溶栓后15 d差异有统计学意义(P0.05),溶栓后1个月差异有显著统计学意义(P0.05)。2组CES-D评分在溶栓后24 h、溶栓后15 d差异有统计学意义(P0.05),溶栓后1个月差异有显著统计学意义(P0.05)。结论护理质量与急性脑梗死患者溶栓后行为生活质量水平、痴呆水平、抑郁情况相关,医护一体化护理流程,提高了护理水平和效率,对提高超急性期脑梗死静脉溶栓患者的行为生活质量水平、减少超急性期脑梗死静脉溶栓患者合并痴呆、抑郁的比例,及减少痴呆和抑郁的程度有重要意义。
[Abstract]:Objective to explore the effect of integrated care process of medical and nursing on intravenous thrombolysis in patients with hyperacute cerebral infarction. Methods from 1 to December 2015, 31 patients with hyperacute cerebral infarction were set up as experimental group, and the integrated nursing process was adopted. From 2014 5 - 12 menstrual traditional treatment mode for intravenous thrombolysis in 31 patients with hyperacute cerebral infarction as control group, were compared between the 2 groups in the level of quality of life behavior before and after thrombolytic therapy (NIHSS score), dementia (MMSE score) and depression (CES-D score evaluation). The results of the experimental group and the control group before the treatment NIHSS score, MMSE score and CES-D score had no significant difference (P0.05); the NIHSS scores of the 2 groups after thrombolysis in 1 months between 24 h and 15 d after thrombolysis after thrombolytic therapy, there was statistical significance (P0.05); the 2 groups of MMSE score in 24 h after thrombolysis was meaning (P0.05), thrombolysis was statistically significant difference after 15 d (P0.05), there was significant difference between 1 months after thrombolytic therapy (P0.05). There was significant difference between the 2 groups of CES-D scores at 24 h after thrombolysis and 15 d after thrombolysis (P0.05), and there was significant difference (P0.05) after 1 months of thrombolysis. Conclusion the quality of nursing in patients with acute cerebral infarction after thrombolytic therapy, the level of quality of life and behavior levels of dementia and depression, integrated health care process, improve nursing level and efficiency, to improve the level of quality of life, reduce the acute phase of cerebral infarction with intravenous thrombolysis in patients with dementia, depression scale behavior of patients with hyperacute cerebral infarction and thrombolytic therapy. Reduce dementia and depression are important.
【作者单位】：中国医科大学附属第一医院神经内科;
【基金】：辽宁省卫生厅科研项目(P201520)
【分类号】：R473.74
【正文快照】： 急性脑梗死(ACI)是常见的严重危害人类健康的疾病,具有发病率高、致死率高、致残率高和复发率高等特点。循证医学研究结果[1]表明,目前治疗急性脑梗死唯一有效的治疗方法是溶栓。研究[2]表明,溶栓治疗可以有效改善急性脑梗死患者预后,提高患者的生活质量。发病4.5h的脑梗死称

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