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目的探究责任制护理干预在脑梗死溶栓治疗患者中的应用效果。方法选择沈阳市第一人民医院神经内科2015年1—12月收治68例脑梗死患者作为研究对象,根据随机数字表法将上述患者分为观察组和对照组,每组34例。对照组患者给予常规护理干预,观察组则采用责任制护理干预,观察比较两组患者治疗前后的神经功能缺损情况和日常生活能力情况,以及治疗后的临床疗效和护理满意度。结果治疗前,两组患者的CSS评分和Barthel指数差异均无统计学意义(均P>0.05),但是治疗后观察组患者的CSS评分和Barthel指数明显优于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率和护理总满意度均高于对照组,差异均有统计学意义(均P<0.05)。结论责任制护理干预在脑梗死溶栓治疗患者中的应用效果显著,能有效降低脑梗死患者的神经功能缺损情况,提高患者的日常生活能力、临床治疗效果和护理满意度。
Objective To explore the application of the responsibility system nursing intervention in patients with cerebral infarction thrombolytic therapy. Methods Sixty-eight patients with cerebral infarction were enrolled in the Department of Neurology, First People’s Hospital of Shenyang from January to December 2015. The patients were divided into observation group and control group according to random number table method, with 34 cases in each group. Patients in the control group were given routine nursing intervention, and the observation group were treated with duty-based nursing intervention. The neurological deficits and daily living conditions before and after treatment in the two groups were observed and compared, and the clinical efficacy and nursing satisfaction after treatment were compared. Results Before treatment, there was no significant difference between the two groups in the CSS score and the Barthel index (all P> 0.05), but after treatment, the CSS score and Barthel index in the observation group were significantly better than the control group (the difference was statistically significant P <0.05). The total effective rate of treatment and the total satisfaction of nursing in the observation group were higher than those in the control group (all P <0.05). Conclusion Responsible nursing intervention in patients with cerebral infarction thrombolysis effect is significant, can effectively reduce the neurological deficit in patients with cerebral infarction, improve patients’ daily living ability, clinical treatment and nursing satisfaction.