作者：邱欢欢1 ，葛中林2 ，王园园2 ，王茹1 ，顾艳梅3 ，李苏毅4

单位：

1.222003江苏省连云港市第二人民医院导管室　 2.222003江苏省连云港市第二人民医院神经内科　 3.222003 江苏省连云港市第二人民医院神经外科　4.222003 江苏省连云港市第二人民医院康复科

Units：

1.Catheterization Room, the Second People's Hospital of Lianyungang, Lianyungang 222003, China 2.Department of Neurology, the Second People's Hospital of Lianyungang, Lianyungang 222003, China 3.Department of Neurosurgery, the Second People's Hospital of Lianyungang, Lianyungang 222003, China 4.Department of Rehabilitation, the Second People's Hospital of Lianyungang, Lianyungang 222003, China

关键词：

脑梗死；脑血管支架植入术；时间管理；护理

Keywords：

Brain infarction; Cerebrovascular stent implantation; Time management; Nursing care

CLC：

R 743.33

DOI：

10.12114/j.issn.1008-5971.2024.00.073

Funds：

摘要：

目的　探讨基于时间管理的护理模式在行脑血管支架植入术（VSI）的脑梗死患者中的应用效果。方 法　选取2021年3月—2022年3月在连云港市第二人民医院拟行VSI的脑梗死患者62例，采用随机数字表法将所有患者 分为常规护理组和时间管理护理组，每组31例。常规护理组患者接受常规护理干预，时间管理护理组患者接受基于时 间管理的护理模式干预，两组均干预2周。比较两组干预前及干预后3、6个月美国国立卫生研究院卒中量表（NIHSS） 评分、Fugl-Meyer运动功能评估量表（FMA）评分、Barthel指数、卒中专门生存质量量表（SS-QOL）评分。结果　 干预前，两组NIHSS评分和FMA评分比较，差异无统计学意义（P＞0.05）；干预后3、6个月，与常规护理组比较， 时间管理护理组NIHSS评分降低，FMA评分升高（P＜0.05）。干预前，两组Barthel指数和SS-QOL评分比较，差异 无统计学意义（P＞0.05）；干预后3、6个月，与常规护理组比较，时间管理护理组Barthel指数和SS-QOL评分升高 （P＜0.05）。结论　基于时间管理的护理模式对行VSI的脑梗死患者的神经功能、运动功能、日常生活活动能力和生 活质量均具有明显的改善作用。

Abstract：

　Objective To explore the application effect of nursing mode based on time management in brain infarction patients undergoing cerebrovascular stent implantation (VSI) . Methods From March 2021 to March 2022, a total of 62 brain infarction patients who planned to undergo VSI at the Second People's Hospital of Lianyungang were selected, and they were divided into group A and group B by random number table method, with 31 cases in each group. Patients in group A received routine nursing intervention, and patients in group B received nursing mode intervention based on time management. Both groups were intervened for 2 weeks. The National Institutes of Health Stroke Scale (NIHSS) score, Fugl-Meyer Motor Assessment (FMA) score, Barthel Index and Stroke-Specific Quality of Life (SS-QOL) score were compared between the two groups before intervention and at 3 and 6 months after intervention. Results Before intervention, there was no significant difference in NIHSS score and FMA score between the two groups (P > 0.05) . At 3 and 6 months after intervention, the NIHSS score in group B was lower than that in group A, and FMA score was higher than that in group A (P < 0.05) . Before intervention, there was no significant difference in Barthel Index and SS-QOL score between the two groups (P > 0.05) . At 3 and 6 months after intervention, the Barthel Index and SS-QOL score in group B were higher than those in group A (P < 0.05) . Conclusion The nursing model based on time management can effectively improve the neurological function, motor function, activities of daily living and quality of life of brain infarction patients undergoing VSI.

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