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目的:研究综合性干预对脑梗死患者治疗依从性及预后的影响。方法:158例入组脑梗死患者随机分为观察组与对照组,在出院时应用NIHSS、mRS及BI量表进行评分,分别给予为期6个月的综合性干预和常规护理,再次应用NIHSS、mRS及BI量表进行评分,并进行随访调查,记录和比较患者治疗依从性情况。结果:观察组患者依从性明显高于对照组(χ~2=4.89,P<0.05);综合性干预后对照组、观察组患者的神经功能缺失程度较干预前明显好转(tG-NIHSS=2.984,PG-NIHSS<0.01,tD-NIHSS=2.901,PD-NIHSS<0.01),干预后观察组的NIHSS评分较对照组下降更明显(*tNIHSS=2.933,*PNIHSS<0.01),在脑梗死恢复程度和日常生活能力方面,两组患者在综合性护理干预6个月后均较干预前明显好转(tG-BI=2.976,PG-BI<0.01,tD-BI=2.908,PD-BI<0.01,tG-MRS=2.955,PG-MRS<0.01,tD-MRS=2.911,PD-MRS<0.01),且观察组与对照组比较好转的更为明显(*tBI=2.993,*PBI<0.01,*tMRS=2.998,*PMRS<0.01)。结论:综合性干预可明显提高农村脑梗死患者对治疗的依从性,改善患者预后。
Objective: To study the effect of comprehensive intervention on compliance and prognosis of patients with cerebral infarction. Methods: One hundred and fifteen patients with cerebral infarction were randomly divided into observation group and control group. NIHSS, mRS and BI scales were used for discharge at the time of discharge. The patients were given comprehensive intervention and routine nursing for 6 months. NIHSS, mRS and BI scales were scored, and follow-up survey, record and compare patient compliance with treatment. Results: The compliance of the observation group was significantly higher than that of the control group (χ ~ 2 = 4.89, P <0.05). The levels of neurological deficits in the control group and observation group were significantly improved after intervention (tG-NIHSS = 2.984 (P <0.05). The NIHSS score of the observation group decreased more significantly than that of the control group (* tNIHSS = 2.933, * PNIHSS <0.01) (TG-BI = 2.976, PG-BI <0.01, tD-BI = 2.908, PD-BI <0.01, tG) in both groups after 6 months of comprehensive nursing intervention (* TBI = 2.993, * PBI <0.01, * tMRS = 2.955, PG-MRS <0.01, tD-MRS = 2.911, PD-MRS was less than 0.01) 2.998, * PMRS <0.01). Conclusion: Comprehensive intervention can significantly improve the compliance of patients with cerebral infarction in rural areas and improve the prognosis of patients.