细节化优质护理在脑梗死患者中的应用评价.docVIP

细节化优质护理在脑梗死患者中的应用评价 　　[摘要] 目的 探究细节化优质护理对脑梗死患者心理状态及护理依从性的影响。 方法 回顾性分析西安市第四医院（以下简称“我院”）2012年1月～2013年1月收治的70例脑梗死患者的临床资料，患者住院期间给予常规护理，将其作为对照组；回顾性分析2013年2月～2014年2月我院收治的80例脑梗死患者的临床资料，患者住院期间在常规护理的基础上再给予细节化优质护理，作为观察组。比较两组患者护理前后的日常生活能力（ADL）评分、神经缺损情况（CSS）评分、焦虑、抑郁评分情况，通过调查问卷了解患者对护理的依从性及满意度情况，并进行比较。 结果 护理后两组患者的ADL评分明显增加，CSS评分明显降低，SAS及SDS评分也明显降低，与护理前比较变化明显（P 0.05）；观察组患者护理后的ADL评分、CSS评分、SAS评分、SDS评分分别为（66.7±11.3）、（12.6±3.5）、（38.3±6.3）、（37.8±5.9）分，除ADL评分明显高于对照组外，其他评分均较对照组低（P 0.05）。观察组患者对护理依从性的总得分为（10.8±1.3）分，明显高于对照组患者对护理依从性的总得分（8.2±1.1）分，差异有统计学意义（P 0.05）；观察组患者的护理依从率及对护理的满意度分别为96.3%、98.8%，均较对照组（82.9%、77.1%）高（P 0.05）。 结论 在脑梗死患者的护理中，细节化优质护理的疗效显著，不仅有利于患者日常生活能力、心理状态的改善，还能提高患者对护理的依从性及满意度，具有较高的临床应用价值，值得在临床上广泛应用。 　　[关键词] 细节化优质护理；脑梗死；心理状态；依从性 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210（2015）10（a）-0164-05 　　Application evaluation of detail of quality nursing in mental patients with cerebral infarction 　　LI Ning 　　Department of Neurology， the Fourth Hospital of Xian City， Shaanxi Province， Xian 710004， China 　　[Abstract] Objective To explore the influence of detail of quality nursing on the mental state of patients with cerebral infarction and their nursing compliance. Methods The clinical data of 70 patients with cerebral infarction in the Fourth Hospital of Xian City （our hospital for short） from January 2012 to January 2013 were analyzed retrospectively. Patients were given routine care during hospitalization， who were taken as the control group. Clinical data of 80 patients with cerebral infarction in our hospital from February 2013 to February 2014 were analyzed retrospectively. Patients were given detail of quality nursing on the basis of routine care during hospitalization， who were taken as the observation group. The ADL score， CSS score， anxiety， depression scores were compared before and after nursing between the two groups， also through questionnaires to understand the patients compliance to nursing and satisfaction. Results In the two groups after nursing， the ADL sc