摘要
目的探讨心理护理干预措施应用在脑血栓患者中的临床效果,并分析患者遵照医嘱行为的影响与意义。方法方便选取该院2014年11月—2016年8月期间所收治的86例脑血栓患者作为该次病例,对患者进行分组治疗,研究组与对照组各43例,对照组行常规护理,研究组在对照组基础上加用心理护理干预措施,对比分析两组患者的临床护理满意度与遵照医嘱的行为率,并比较两组上肢功能评分与下肢功能评分,观察Barthel指数。结果研究组非常满意23例,一般满意17例,满意率为93.02%,对照组非常满意18例,一般满意13例,满意率为72.09%(χ~2=6.540 8,P=0.010 5),研究组监测血压行为率(93.02%)、戒烟酒行为率(90.69%)、复查规律行为率(81.39%)、康复训练行为率(83.72%)以及规律服药行为率(95.35%)显著优于对照组,组间对比统计值分别为(χ~2=6.540 8、5.938 6、5.512 8、4.8075、5.107 9;P=0.010 5、0.014 8、0.018 8、0.028 3、0.023 8)。研究组上肢功能评分(41.95±8.23)分、下肢功能评分(38.51±12.08)分与Barthel指数(74.59±9.32)显著优于对照组,组间对比统计值分别为(t=7.308 1、3.319 9、16.420 9;P=0.0000、0.001 3、0.000 0)。结论对脑血栓患者行心理护理干预措施,能够有效提高患者的遵医嘱行为率,提高脑血栓患者的治疗效果与生活质量,值得临床应用。
Objective To investigate the clinical effects of psychological nursing interventions in patients with cerebral thrombosis and to analyze the influence and significance of patients＇ compliance with doctor＇s orders. Methods 86 cases of cerebral thrombosis treated in the hospital from November 2014 to August 2016 were convenient treated as the current case.The patients were divided into two groups. 43 cases in the study group and the control group respectively. The control group received routine nursing care. The study group added psychological nursing interventions on the basis of the control group and compared and analyzed the clinical nursing satisfaction and the behavioral rate of compliance with the doctor＇s orders.The upper limb function scores and lower limb function scores of the two groups were compared to observe the Barthel index. Results The study group was very satisfied with 23 cases, generally satisfied with 17 cases, and the satisfaction rate was 93.02%. The control group was very satisfied with 18 cases and was generally satisfied with 13 cases. The satisfaction rate was 72.09%（χ^2=6.540 8, P=0.010 5）. The study group of blood pressure behavior rate（93.02%）, smoking cessation alcohol behavior rate（90.69%）, review regular behavior rate（81.39%）, rehabilitation training behavior rate（83.72%） and regular medication behavior rate（95.35%） were significantly better than the control group. The inter-assay statistics were（χ^2=6.540 8, 5.938 6, 5.512 8, 4.807 5, 5.107 9; P=0.010 5, 0.014 8, 0.018 8, 0.028 3, 0.023 8）. The upper limb function score（41.95±8.23）, lower limb function score（38.51±12.08）points and Barthel index（74.59±9.32） in the study group were significantly better than those in the control group. The statistical values between the groups were（t=7.308 1, 3.319 9, 16.4220 9;P=0.000 0, 0.001 3, 0.000 0）. Conclusion Psychological nursing interventions for patients with cerebral thrombosis can effectively increase the rate of patients＇ compliance and improve the treatment effect and quality of life of patients with cerebral thrombosis. It is worthy of clinical application.
作者
王艳
WANG Yan(Medical Insurance Department,Zaozhuang Mining Group Tengnan Hospital,Zaozhuang,Shandong Province,277606 China)
出处
《中外医疗》
2018年第20期136-138,共3页
China & Foreign Medical Treatment
关键词
心理护理干预
脑血栓
遵医嘱行为率
满意度
BARTHEL指数
Psychological nursing intervention
Cerebral thrombosis
Compliance rate
Satisfaction degree
Barthel index
