出血性脑卒中患者思维导图引导康复护理及预后
| 作者: |
1王冬梅,
1刘喻,
1刘婷,
1余倩倩,
2申彦梅,
3朱香情
1 安徽皖北煤电集团总医院神经外科，安徽 宿州 234000 2 安徽皖北煤电集团总医院重症医学二科，安徽 宿州 234000 3 安徽皖北煤电集团总医院急诊医学科，安徽 宿州 234000 |
| 通讯: |
王冬梅
Email: 564117856@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.01.023 |
摘要
目的：研究出血性脑卒中患者思维导图引导康复护理及对预后的影响，为临床治疗提供指导。方法：选取安徽皖北煤电集团总医院于2017年6月至2019年6月收治的80例出血性脑卒中患者，按随机数字表法分成观察组和对照组，各40例。对照组采取常规护理，观察组采取思维导图引导康复护理。观察并比较两组患者并发症发生情况、对脑卒中知识掌握度情况、依从性情况、生活质量以及护理人员护理能力与并发症认知水平变化情况。结果：护理后，观察组并发症发生率为10.00%，明显低于对照组的37.50%，差异有统计学意义(P<0.01)。观察组康复护理后对脑卒中知识掌握度为85%，明显高于对照组的52.50%，差异具有统计学意义(P<0.01)。观察组饮食遵循、控烟戒酒、康复训练、自我监测依从性明显高于对照组，差异有统计学意义(P<0.05或P<0.01)。观察组生理功能、躯体功能、社会功能、情绪状态等生活质量评分均明显高于对照组，差异有统计学意义(均P<0.05)。护理培训后，两组护理人员护理能力增强，对并发症的认知水平评分均明显升高，且观察组明显高于对照组，差异有统计学意义(均P<0.05)。结论：思维导图应用于出血性脑卒中患者中引导康复护理可有效提高护理人员的护理能力，减少患者并发症发生率，改善其生活质量，值得临床推广应用。
关键词：
出血性脑卒中；思维导图；康复护理；并发症；依从性；生活质量
Mind map guided rehabilitation nursing and prognosis in patients with hemorrhagic stroke
CorrespondingAuthor: WANG Dongmei Email: 564117856@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.01.023
Abstract
Objective: To analyze mind map guided rehabilitation nursing and prognosis in patients with hemorrhagic stroke and provide guidance for clinical treatment. Methods: A total of 80 patients with hemorrhagic stroke admitted to our hospital from June 2017 to June 2019 were selected for research. According to the random number table method, they were divided into observation group and control group, with 40 cases in each group. The control group was given routine nursing care, and the observation group was given mind map guided rehabilitation nursing. The incidence of complications, knowledge about stroke, patients’ compliance and quality of life, changes of nursing ability and cognitive level of complications of nursing staff were observed and compared between two groups. Results: After rehabilitation nursing, the incidence of complications was 10% in the observation group and 37.5% in the control group; there was a significant difference between the two groups (P<0.05). After rehabilitation nursing, the observation group’s knowledge of stroke was 85%, which was significantly higher than that 52.5% in the control group, the difference was statistically significant (P<0.05). The compliance of the observation group was significantly higher than that of the control group in terms of dietary compliance, smoking and alcohol control, rehabilitation training, and self-monitoring compliance, the differences between the two groups were statistically significant (P<0.05). The quality of life scores of physiological and physical function, social function, and emotional state in the observation group were significantly higher than those in the control group, the difference was statistically significant (P<0.05). After nursing training, the scores of nursing ability and cognitive level of complications of the nursing staff in the two groups were significantly increased, and those in the observation group were significantly higher than those in the control group, the difference was statistically significant (P<0.05). Conclusion: The application of mind mapping to guide rehabilitation nursing in patients with hemorrhagic stroke can effectively improve the nursing ability of nursing staff, reduce the incidence of complications and improve the quality of life of patients, and is worthy of clinical popularization and application.
Keywords：
hemorrhagic stroke; mind map; rehabilitation nursing; complications; compliance; quality of life