Gao Na, Li Yaqiang, Sang Changru, He Jiale, Chen Congxia
Department of Neurology, First Affiliated Hospital of Anhui University of Science and Technology (First People's Hospital of Huainan), Huainan, China.
Department of Neurology, People's Hospital of Lixin County, Bozhou, China.
Front Neurol. 2023 Oct 16;14:1259737. doi: 10.3389/fneur.2023.1259737. eCollection 2023.
The primary objective of the present investigation was to meticulously examine the efficacy of high-quality nursing care (HQN) on neurological restoration, amelioration of adverse psychological states, and augmentation of quality of life in geriatric patients diagnosed with acute cerebral infarction (ACI).
A cohort of 240 patients, afflicted by ACI and admitted to our healthcare institution between February 2020 and March 2023, were incorporated into this longitudinal prospective analysis. Employing a random number table methodology, the patient cohort was bifurcated into a control group ( = 120) receiving conventional care and an observation group ( = 120) receiving HQN. Comparisons were conducted between the two cohorts concerning neurological functionality [as quantified by the National Institutes of Health Stroke Scales (NIHSS) and Barthel Index (BI) scores], psychological wellbeing [utilizing the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores], overall quality of life [assessed via the Generic Quality of Life Inventory-74 (GQOLI-74) scores], and self-perceived burden [evaluated through the Self-Perceived Burden Scale (SPBS)]. Further assessments included patient satisfaction and incidence of complications, both in the pre- and post-interventional phases.
Post-intervention, the observation group demonstrated superior outcomes compared to the control group, as evidenced by diminished NIHSS and SPBS scores and elevated BI metrics. Moreover, SAS and SDS scores in both groups manifested a decline post-intervention; however, the decrement was statistically more pronounced in the observation group ( < 0.05). Similarly, all dimensions of GQOLI-74 showed an upward trend in both cohorts, yet the increase was significantly more substantial in the observation group ( < 0.05). Furthermore, the observation group exhibited a reduced frequency of complications coupled with heightened levels of nursing satisfaction.
The implementation of HQN in the geriatric population afflicted by ACI markedly enhances neurological recuperation, attenuates adverse psychological states, and ameliorates overall quality of life. The intervention is also associated with a diminution in complication rates and an increase in nursing satisfaction, thereby substantiating its clinical utility.
本研究的主要目的是细致地考察优质护理（HQN）对老年急性脑梗死（ACI）患者神经功能恢复、不良心理状态改善以及生活质量提高的效果。
纳入2020年2月至2023年3月期间在我院就诊的240例ACI患者进行纵向前瞻性分析。采用随机数字表法将患者分为对照组（n = 120）接受常规护理和观察组（n = 120）接受HQN。比较两组患者的神经功能[通过美国国立卫生研究院卒中量表（NIHSS）和巴氏指数（BI）评分量化]、心理健康[利用自评焦虑量表（SAS）和自评抑郁量表（SDS）评分]、总体生活质量[通过生活质量综合评定问卷-74（GQOLI-74）评分评估]以及自我感知负担[通过自我感知负担量表（SPBS）评估]。进一步评估包括干预前后的患者满意度和并发症发生率。
干预后，观察组与对照组相比显示出更好的结果，表现为NIHSS和SPBS评分降低以及BI指标升高。此外，两组的SAS和SDS评分干预后均有所下降；然而，观察组的下降在统计学上更显著（P < 0.05）。同样，GQOLI-74的所有维度在两组中均呈上升趋势，但观察组的增加更为显著（P < 0.05）。此外，观察组并发症发生率降低且护理满意度提高。
在老年ACI患者中实施HQN可显著促进神经功能恢复，减轻不良心理状态，改善总体生活质量。该干预还与并发症发生率降低和护理满意度提高相关，从而证实了其临床实用性。
