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目的探讨卒中单元(s t r o k e unit,SU)护理管理模式对脑卒中患者康复效果的影响,为今后的护理工作提供思路。方法以我院神经内科于2014年1月~2014年12月期间收治的80例急性缺血性脑卒中患者作为观察对象,采用随机抽样法将其分为对照组与观察组各40例,对照组给予常规护理,观察组开展SU护理管理模式,护理后采用神经功能缺损评分(NIHSS评分)量表对两组神经功能缺损程度进行评价,并对比两组护理满意度。结果 1护理前,两组的NIHSS评分之间无明显差异,不具有统计学意义(P>0.05);护理后,观察组的NIHSS评分明显低于对照组,具有统计学意义(P<0.05)。2观察组中,非常满意17例,较满意23例,护理满意度为100%;对照组中非常满意10例,较满意23例,不满意7例,护理满意度为82.5%;观察组明显高于对照组,具有统计学意义(P<0.05)。结论 SU护理管理模式能够明显提高脑卒中患者的日常生活能力与护理满意度,保证护理质量。
Objective To explore the impact of nursing management model of stroke unit on the rehabilitation of stroke patients and to provide ideas for future nursing work. Methods Eighty patients with acute ischemic stroke admitted to Department of Neurology in our hospital from January 2014 to December 2014 were selected as observation subjects and divided into control group and observation group with 40 cases in each group by random sampling method. The patients in the observation group were given SU nursing management mode. After nursing, the neurological deficit score (NIHSS score) scale was used to evaluate the degree of neurological deficit in both groups. The nursing satisfaction was compared between the two groups. Results1 There was no significant difference in the NIHSS scores between the two groups before treatment (P> 0.05). After nursing, NIHSS scores in the observation group were significantly lower than those in the control group (P <0.05) . In the observation group, 17 patients were very satisfied, 23 were satisfied, and 100% were satisfied with nursing care. In the control group, 10 patients were very satisfied, 23 were satisfied, 7 were not satisfied, and the satisfaction degree was 82.5%. The observation group was significantly Higher than the control group, with statistical significance (P <0.05). Conclusion SU nursing management model can significantly improve the daily living ability of patients with stroke and nursing satisfaction, and ensure the quality of care.