预测性护理干预对急性脑卒中患者的影响。

Effects of Predictive Nursing Intervention among Patients with Acute Stroke.

作者信息

Gong Lina, Ruan Chunhong, Yang Xuan, Lin Wanli

机构信息

Department of Neurology, The Third Xiangya Hospital of Central South University, Changsha 410013, China.

Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha 410013, China.

出版信息

Iran J Public Health. 2021 Jul;50(7):1398-1404. doi: 10.18502/ijph.v50i7.6629.

DOI:10.18502/ijph.v50i7.6629

PMID:34568178

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8426776/

Abstract

BACKGROUND

To explore the effects of predictive nursing intervention among patients with acute stroke.

METHODS

One hundred and sixty participants were included. They were hospitalized in the Department of Neurology of a third-level first-class hospital in Changsha, Hunan Province, from January to August 2019. They were categorized into control group and intervention group by random number table, with 80 patients in each group. General nursing for patients in Neurology Department was offered to the control group. On the basis of general nursing, predictive nursing intervention was offered to the intervention group. The effectiveness of predictive nursing intervention were evaluated by disparity in neurologic function, movement function, daily life ability and sleep quality before intervention and 2 weeks after intervention. The neurologic function, movement function, daily life ability and sleep quality were evaluated by National Institute of Health acute stroke scale (NIHSS), Fugl-Meyer scale, Barthel indicator, and Pittsburgh sleep quality indicator (PSQI), respectively.

RESULTS

There was no significant difference in gender, age, complications and treatment methods between two groups. There was no significant difference in the scores of NIHSS, Fugl-Meyer scale, Barthel indicator, and PSQI before intervention. The scores of NIHSS and PSQI were significantly lower in the intervention group than those in the control group, and the scores of Fugl-Meyer scale and Barthel indicator were significantly higher in the intervention group than those in the control group ( <0.05).

CONCLUSION

Predictive nursing intervention could help improve not only neurologic function, movement function, and daily life ability, but also sleep quality among patients with acute stroke.

摘要

背景

探讨预见性护理干预对急性脑卒中患者的影响。

方法

纳入160名参与者。他们于2019年1月至8月在湖南省长沙市某三级甲等医院神经内科住院。通过随机数字表将他们分为对照组和干预组，每组80例患者。对照组给予神经内科患者常规护理。干预组在常规护理的基础上给予预见性护理干预。通过比较干预前和干预后2周的神经功能、运动功能、日常生活能力和睡眠质量的差异，评估预见性护理干预的效果。神经功能、运动功能、日常生活能力和睡眠质量分别采用美国国立卫生研究院急性卒中量表（NIHSS）、Fugl-Meyer量表、Barthel指数和匹兹堡睡眠质量指数（PSQI）进行评估。