Suppr超能文献

综合身心护理对急性脑梗死患者静脉溶栓治疗效果的分析

Analysis of the effect of comprehensive physical and mental nursing for patients with acute cerebral infarction in intravenous thrombolytic therapy.

作者信息

Zhang Yun, Wang Mingxia, Zhao Tingting, Zhang Jing, Shen Zequn

机构信息

Emergency ward, Haian Hospital, Nantong University, Nantong,China.

School of nursing, Hangzhou vocational and technical college, Hangzhou City, China.

出版信息

Int J Neurosci. 2025 Mar;135(3):296-303. doi: 10.1080/00207454.2023.2300322. Epub 2024 Apr 9.

Abstract

BACKGROUND

To evaluate the efficacy of comprehensive physical and mental nursing for patients with acute cerebral infarction (ACI) undergoing intravenous thrombolytic therapy and its impact on patients' quality of life and psychological state.

METHODS

A total of 200 patients with ACI, admitted to our hospital between December 2018 and December 2019, were included in the study. They were randomly assigned to either the control group or the experimental group using a random number table. The control group received routine care (basic care such as monitoring vital signs, assisting with daily activities, administering medications, and providing comfort measures), while the experimental group received comprehensive physical and mental nursing (physical care, phsycological surpport, education and conceling). Various parameters including quality of life index (QLI) scores, mental status scale in non-psychiatric settings (MSSNS) scores, self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, National Institute of Health Stroke Scale (NIHSS) scores, changes in hemodynamic indicators, and incidence of adverse events during intravenous thrombolysis were compared between the two groups.

RESULTS

The experimental group had higher QLI scores and lower MSSNS, SAS, SDS, and NIHSS scores compared to the control group ( = 0.33, 0.22, 0.35, 0.26, 0.042). The experimental group also exhibited a lower incidence of adverse reactions during intravenous thrombolysis ( = 0.02).

CONCLUSION

Comprehensive physical and mental nursing for patients with ACI undergoing intravenous thrombolysis improves nursing efficacy, nursing satisfaction, quality of life, and patients' psychological state. These findings highlight the importance of implementing holistic nursing interventions to optimize patient outcomes in ACI management.

摘要

背景

评估综合身心护理对接受静脉溶栓治疗的急性脑梗死(ACI)患者的疗效及其对患者生活质量和心理状态的影响。

方法

选取2018年12月至2019年12月在我院收治的200例ACI患者纳入研究。采用随机数字表法将其随机分为对照组和试验组。对照组接受常规护理(监测生命体征、协助日常生活活动、给药及提供舒适措施等基础护理),而试验组接受综合身心护理(身体护理、心理支持、教育及咨询)。比较两组患者的生活质量指数(QLI)评分、非精神科环境下精神状态量表(MSSNS)评分、自评焦虑量表(SAS)评分、自评抑郁量表(SDS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、血流动力学指标变化以及静脉溶栓期间不良事件的发生率。

结果

试验组的QLI评分高于对照组,MSSNS、SAS、SDS和NIHSS评分低于对照组(P = 0.33、0.22、0.35、0.26、0.042)。试验组静脉溶栓期间不良反应的发生率也较低(P = 0.02)。

结论

对接受静脉溶栓的ACI患者实施综合身心护理可提高护理效果、护理满意度、生活质量及患者的心理状态。这些发现凸显了实施整体护理干预以优化ACI管理中患者结局的重要性。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验