系统性护理干预对脑出血患者神经功能恢复与自我效能的影响

姚楠楠

【摘要】 目的：分析系统性护理干预对脑出血患者神经功能恢复、自我效能的影响。方法：选取2019年1月-2020年10月在本院接受治疗的脑出血患者80例，按照随机数字表法分组，对照组40例接受常规护理，研究组40例接受系统化护理，对比两组各方面功能恢复、自我效能及用药依从性情况。结果：干预后，研究组自我效能感评分高于对照组（P<0.05）。研究组干预后NIHSS评分低于对照组，Barthel指数、Fuel-Meyer评分及MMSE评分均高于对照组，差异均有统计学意义（P<0.05）。研究组用药总依从率为92.50%，高于对照组的70.00%，差异有统计学意义（P<0.05）。结论：脑出血患者应用系统性护理干预，能有效增强自我效能感，提升服药依从性，促进神经、认知以及肢体运动等方面功能恢复，值得推广应用。

【关键词】 系统性护理 脑出血 神经功能 用药依从性 自我效能 认知功能

Effect of Systematic Nursing Intervention on Neurological Function Recovery and Self-efficacy in Patients with Cerebral Hemorrhage/YAO Nannan. //Medical Innovation of China， 2021， 18（27）： -111

[Abstract] Objective： To analyze the effect of systematic nursing intervention on neurological function recovery and self-efficacy in patients with cerebral hemorrhage. Method： A total of 80 patients with cerebral hemorrhage who received treatment in our hospital from January 2019 to October 2020 were selected and grouped by random number table method， 40 patients in the control group received routine nursing and 40 patients in the study group received systematic nursing. The functional recovery， self-efficacy and medication compliance of two groups were compared. Result： After intervention， the self-efficacy score of the study group was higher than that of the control group （P<0.05）. After intervention， the NIHSS score of the study group was lower than that of the control group， and Barthel index， Fuel-Meyer score and MMSE score of the study group were higher than those of the control group， the differences were statistically significant （P<0.05）. The total medication compliance rate of the study group was 92.50%， which was higher than 70.00% of the control group， the difference was statistically significant （P<0.05）. Conclusion： The application of systematic nursing intervention in patients with cerebral hemorrhage can effectively enhance sense of self-efficacy， improve medication compliance， and promote the recovery of neurological， cognitive and limb movement functions， which is worthy of popularization and application.

[Key words] Systematic nursing Cerebral hemorrhage Neurological function Compliance with medication Self-efficacy Cognitive function

First-author’s address： Shenyang 245 Hospital， Shenyang 110042， China

doi：10.3969/j.issn.1674-4985.2021.27.027

腦出血是一种常见神经内科疾病，与高血压等基础疾病具有较大关系，且该类疾病患者往往发病急、病情进展快，对患者生命安全威胁较大，致死率和致残率均较高，且术后恢复慢，给患者身心健康造成不良影响[1]。因此，临床在予以患者治疗的同时，还应辅以有效护理干预。随着人们对临床护理质量要求的日益提升，常规护理已经越来越无法满足临床需求，有研究报道，系统性护理在脑出血等疾病患者中具有较好的护理效果[2]，为验证该护理模式在脑出血患者中的应用效果，本研究选取2019年1月-2020年10月本院收治的80例脑出血患者进行研究。现报道如下。

1 资料与方法