摘要
目的观察共建共享模式联合信息化支持在脑梗死(CI)溶栓治疗后的运用效果。方法选取2021年5月至2024年5月信阳市中心医院接受溶栓治疗的86例CI患者,采用随机数字表法分为两组,每组43例。对照组在溶栓治疗后给予常规干预,干预组在溶栓治疗后给予共建共享模式联合信息化支持。对比两组心理韧性、神经功能缺损程度、日常生活活动能力及认知功能。结果干预后,两组心理韧性量表(CD-RISC)各维度评分均较干预前升高,且干预组高于对照组,差异有统计学意义(P<0.05)。干预后,两组美国国立卫生研究院卒中量表(NIHSS)评分均较干预前降低,Barthel指数(BI)评分均较干预前升高,且干预组NIHSS评分低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组简易精神状态检查表(MMSE)各维度评分均较干预前升高,且干预组高于对照组,差异有统计学意义(P<0.05)。结论在CI溶栓治疗后采用共建共享模式联合信息化支持干预可提高患者心理韧性水平及日常生活活动能力,促进神经功能恢复,改善认知功能。
Objective To observe the effect of applying a co-construction and sharing model combined with informationbased support after thrombolytic therapy for cerebral infarction(CI).Methods A total of 86 patients with CI who received thrombolytic therapy at Xinyang Central Hospital from May 2021 to May 2024 were selected and randomly divided into two groups by the random number table method,with 43 cases in each group.The control group received routine interventions after thrombolytic therapy,whereas the intervention group received a co-construction and sharing model combined with informationbased support after thrombolytic therapy.Psychological resilience,degree of neurological deficit,activities of daily living,and cognitive function were compared between the two groups.Results After the intervention,scores of all dimensions of the Connor–Davidson Resilience Scale(CD-RISC)increased in both groups,and the scores in the intervention group were higher than those in the control group(P<0.05).After the intervention,National Institutes of Health Stroke Scale(NIHSS)scores decreased and Barthel Index(BI)scores increased in both groups;NIHSS scores in the intervention group were lower and BI scores were higher than those in the control group(P<0.05).After the intervention,scores of all dimensions of the Mini-Mental State Examination(MMSE)increased in both groups,and the scores in the intervention group were higher than those in the control group(P<0.05).Conclusion The application of a co-construction and sharing model combined with information-based support after thrombolytic therapy for CI can enhance patients’psychological resilience and activities of daily living,promote neurological recovery,and improve cognitive function.
作者
高芳
GAO Fang(Department of Neurological Intensive Care,Xinyang Central Hospital,Xinyang,Henan 464000,China)
出处
《临床研究》
2025年第12期170-173,共4页
Clinical Research
关键词
脑梗死
溶栓治疗
共建共享模式
信息化支持
cerebral infarction
thrombolytic therapy
co-construction and sharing model
information-based support
