基于质量控制理论的护理干预...脑梗死介入治疗中的应用研究_郝晓静.pdf

184Clinical Research,Mar.2023,Vol.31 No.03作者简介：郝晓静，女，主管护师，本科。研究方向：神经介入相关方面。11王珺珺,王文炜,蒋媛红,等.情绪调节干预对急诊清创缝合术患者的影响J.齐鲁护理杂志,2022,28(18):100-102.12谢小芬,黎旋,唐亚荠.品管圈在急诊清创缝合术患者中的临床应用价值J.护理实践与研究,2018,15(20):67-69.13钟澄,徐海婷.精细化护理模式辅助美容整形清创缝合术对颌面部外伤患者治疗效果的影响J.中国美容医学,2021,30(3):163-166.14ETANI Y,EBINA K,HIRAO M,et al.A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritisJ.Mod Rheumatol Case Rep,2020,4(1):6-10.15LOGAN C A,AMAN Z S,KEMLER B R,et al.Influence of medial meniscus bucket-handle repair in setting of anterior cruciate ligament reconstruction on tibiofemoral contact mechanics:a biomechanical studyJ.Arthroscopy,2019,35(8):2412-2420.临床护理基于质量控制理论的护理干预在急性脑梗死介入治疗中的应用研究郝晓静，王纳，乔双(郑州大学第一附属医院 神经介入科，河南 郑州 450018)摘要：目的 分析以质量控制理论为基础护理干预用于接受介入治疗急性脑梗死中的效果。方法 选取 2019 年 6 月至 2022 年 6 月郑州大学第一附属医院收入开展介入治疗的 72 例急性脑梗死患者，经随机数字表法将其中 36 例划分到对照组(接受常规护理)，余下 36 例划分到观察组(于前组基础上开展以质量控制理论为基础护理干预)，比较两组干预前、干预后的神经功能、生活质量评分情况，并统计两组并发症和对护理工作满意度。结果 干预前，两组神经功能、生活质量评分比较，差异无统计学意义(P 0.05)；干预后，两组神经功能评分均较前降低，差异有统计学意义(P 0.05)，生活质量评分均较前升高，差异有统计学意义(P 0.05)，且观察组神经功能评分低于对照组，生活质量评分高于对照组，差异有统计学意义(P 0.05)。观察组并发症(脑出血、脑水肿、皮疹、静脉血栓)发生率低于对照组，差异有统计学意义(P 0.05)。观察组对护理工作的满意度高于对照组，差异有统计学意义(P 0.05)。结论 以质量控制理论为基础护理干预用于接受介入治疗的急性脑梗死患者效果理想，能改善其神经功能，减少并发症出现，提升其生活质量和对护理的满意度。关键词：质量控制理论；护理干预；介入治疗；急性脑梗死；神经功能；生活质量中图分类号：R473文献标志码：B DOI：10.12385/j.issn.2096-1278(2023)03-0184-04Application of Nursing Intervention based on Quality Control Theory in interventional Treatment of acute cerebral InfarctionHAO Xiaojing,WANG Na,QIAO Shuang(Department of Neurointerventional Radiology,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450018,China)Abstract:Objective To analyze the effect of nursing intervention based on quality control theory in the treatment of acute cerebral infarction.Methods A total of 72 patients with acute cerebral infarction who received interventional treatment from the First Affiliated Hospital of Zhengzhou University from June 2019 to June 2022 were selected.According to the random number table,36 of them were divided into the control group(receiving routine nursing),and the remaining 36 were divided into the observation group(carrying out nursing intervention based on quality control theory on the basis of the former group).The scores of neurological function and quality of life before and after the intervention were compared between the two groups,the complications and satisfaction with nursing work of the two groups were also counted.Results Before the intervention,there was no significant difference in the scores of neurological function and quality of life between the two groups(P 0.05);After intervention,the scores of nerve function in the two groups were lower than before,with a statistically significant difference(P 0.05),the scores of quality of life were significantly higher than before,the difference was statistically significant(P 0.05),the scores of neurological function were lower and the scores of quality of life were higher in the observation group than that in the control group,the difference was statistically significant(P 0.05).The incidence of complications(cerebral hemorrhage,cerebral edema,rash,venous thrombosis)in the observation group was lower than that in the control group,with a statistically significant difference(P 0.05).The satisfaction of nursing work in the observation group was higher than that in the control group,and the difference was statistically significant(P 0.05).Conclusion Nursing intervention based on quality control theory has ideal effect on patients with acute cerebral infarction receiving interventional treatment,which can improve their neurological function,reduce complications,improve their quality of life and satisfaction with nursing.Key Words:quality control theory;nursing intervention;interventional treatment;acute cerebral infarction;nerve function;quality of life急性脑梗死是临床一类多发性疾病，具体是指在多类因素的影响下脑部血液供应出现障碍，产生脑部组织缺血缺氧、坏死等现象，其病因较为复杂，大多数患者起病急，同时病情进展速度快，致残及致死率较高1。185临床研究 2023 年 03 月第 31 卷第 03 期随着急性脑梗死在临床越来越多见，患者多会产生意识或者语言障碍及偏瘫等情况，治疗不及时会导致其病情迁延无法痊愈，对其机体健康及生存质量产生严重影响，加重其心理及经济负担2。介入治疗属于一类重要治疗措施，主要涉及动脉溶栓和机械取栓两种治疗方式，能将闭塞血管重新开通3。据有关研究发现4，经介入治疗能恢复脑部组织血液灌注量，缓解脑组织的缺血再灌注受损程度，对脑部缺血半暗带起到良好保护作用，改善脑梗死患者神经功能和预后。但患者在介入治疗期间因负面情绪、家属照护不周等多因素影响，易导致治疗配合度较低及疗效下降，使并发症出现增多5。因此，做好介入治疗期间的护理工作十分必要。以质量控制理论为基础护理干预是一类较为新颖的护理模式，能使临床护理工作更加规范，提升护理质量6。为此，本文现对郑州大学第一附属医院收入开展介入治疗的 72 例急性脑梗死患者开展研究，分析以质量控制理论为基础护理干预用于该类患者的效果，主要内容如下。1资料和方法1.1一般资料选取 2019 年 6 月至 2022 年 6 月本院收入开展介入治疗的 72 例急性脑梗死患者，经随机数字表法将其中36 例划分到对照组，余下 36 例划分到观察组。对照组男 20 例，女 16 例；年龄 35 75 岁，平均(57.256.14)岁；发 病 时 间 1 4.5h，平 均(2.300.52)h；梗 死位 置：基 底 节 区 12 例，脑 干 10 例，脑 额 叶 10 例，小 脑 4 例。观 察 组 男 21 例，女 15 例；年 龄 36 75岁，平 均(58.106.05)岁；发 病 时 间 1 4h，平均(2.240.40)h；梗死位置：基底节区 13 例，脑干 10例，脑额叶 9 例，小脑 4 例。两组一般资料比较，差异无统计学意义(P 0.05)，具有可比性。本研究得到本院院内伦理委员会通过，同时获得患者知情、同意。纳入标准：(1)均和中国急性缺血性脑卒中诊治指南 20187当中有关疾病诊断标准吻合，依据体征、症状和影像学等各项检查明确诊断；(2)发病时间未超过 4.5h；(3)均采取血管介入疗法；(4)3 个月以内不存在脑外伤病史。排除标准：(1)