摘要
目的:探讨FSM模型的优质护理在神经内科重症监护病房(NICU)脑梗死患者中的应用效果。方法:选取2021年1月至2024年6月本院NICU收治的脑梗死患者106例作为研究对象。按护理模式,将其分为观察组(n=53,给予FSM模型的优质护理)和对照组(n=53,给予常规护理)。比较两组患者NICU住院时间、诡妄及认知障碍发生率、心理状态及不良事件发生率。结果:护理后,观察组患者重症监护诡妄筛查量表(ICDSC)评分、妄及认知障碍发生率低于对照组,ICU谵妄持续时间、NICU住院时间短于对照组,差异均有统计学意义(P<0.05)。护理后,两组患者医院焦虑抑郁量表-焦虑情绪(HADS-A)、抑郁情绪(HADS-D)评分均低于护理前,且观察组患者HADS-A、HADS-D评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者不良事件总发生率(1.89%,1/53)低于对照组(13.21%,7/53),差异有统计学意义(P<0.05)。结果:FSM模型优质护理可显著改善NICU脑梗死患者预后,降低谵妄和认知障碍发生率,缩短住院时间,减少不良事件。
Objective:To explore the application effect of high-quality nursing of FSM model in patients with cerebral infarction in neurological intensive care unit(NICU).Methods:A total of 106 patients with cerebral infarction admitted to the NICU of our hospital from January 2021 to June 2024 were selected as the study subjects.According to the nursing mode,they were divided into observation group(n=53,receiving high-quality nursing of the FSM model)and control group(n=53,receiving conventional nursing).The NICU hospitalization duration,incidence of delirium and cognitive impairment,psychological status,and incidence of adverse events were compared between the two groups.Results:After nursing,the patients in observation group had lower scores on the intensive care delirium screening checklist(ICDSC),lower incidence of delirium and cognitive impairment,and shorter duration of ICU delirium and NICU hospitalization compared with control group,with statistically significant differences(P<0.05).After nursing,the hospital anxiety and depression scale-anxiety(HADS-A)and depression(HADS-D)scores of both groups were lower than those before nursing,and the HADS-A and HADS-D scores of patients in observation group were lower than those in control group,with statistically significant differences(P<0.05).The total incidence of adverse events in observation group(1.89%,1/53)was lower than that in control group(13.21%,7/53),with a statistically significant difference(P<0.05).Conclusion:High-quality nursing in the FSM model can significantly improve the prognosis of patients with cerebral infarction in the NICU,reduce the incidence of delirium and cognitive impairment,shorten the length of hospital stay,and reduce adverse events.
作者
冯南凯
袁立丰
高金杏
FENG Nankai;YUAN Lifeng;GAO Jinxing(Intensive Care Unit,Department of Neurology,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)
出处
《四川解剖学杂志》
2025年第4期155-157,共3页
Sichuan Journal of Anatomy
