责任制护理在缺血性脑卒中患者中的应用效果.docxVIP

责任制护理在缺血性脑卒中患者中的应用效果 　　[摘要]目的探討责任制护理在缺血性脑卒中（cis）患者中的应用效果。方法选取2017年9月～2019年4月我院收治的80例cis患者作为研究对象，按照随机数字表法分为观察组（40例）和对照组（40例）。对照组实施常规护理，观察组实施责任制护理，对所有患者随访3个月，比较干预后两组神经功能恢复情况及生活质量barthel指数变化情况，统计干预后两组饮食习惯中的吸烟及饮酒、高脂及高盐饮食等不良生活习惯，分析干预后两组粗大运动功能评定得分情况。结果观察组欧洲卒中量表（ess）、barthel指数评分高于对照组，差异均有统计学意义（p0.05）;观察组吸烟及饮酒、高脂及高盐饮食发生率低于对照组，差异有统计学意义（p0.05）;观察组3个月后粗大运动功能评分高于干预前及对照组，差异均有统计学意义（p0.05）。结论对cis患者实施责任制护理，能有效改善患者神经功能，提高生活质量，减少不良饮食习惯，促进运动功能恢复。 　　[关键词]责任制护理;缺血性脑卒中;功能康复;日常生活习惯 　　[中图分类号]r473[文献标识码]a[文章编号]1674-4721（2020）2（c）-0235-03 　　effectofresponsibilitysystemnursingonfunctionalrehabilitationanddailylivinghabitsofpatientswithischemicstroke 　　zhangyue 　　departmentofrehabilitation，shenyangfirstpeople′shospitalinliaoningprovince，shenyang110041，china 　　[abstract]objectivetoexploretheeffectofresponsibilitysystemnursingonfunctionalrehabilitationanddailylivinghabitsofpatientswithischemicstroke（cis）.methodsatotalof80caseswithcisadmittedinourhospitalfromseptember2017toapril2019wereselectedandrandomlydividedintoobservationgroup（40cases）andcontrolgroup（40cases）.thecontrolgroupreceivedroutinenursing，whiletheobservationgroupreceivedresponsibilitynursing.allpatientswerefollowedupfor3months.theneurologicalfunctionrecoveryandbarthelindexchangesofqualityoflifeinthetwogroupsaftertheinterventionwerecompared.thesmokinganddrinkinghabits，highfatdietandhighsaltdietandotherbadlivinghabitsofthesubjectsaftertheinterventionwerecounted，andthegrossmotorfunctionevaluationscoresofthetwogroupsaftertheinterventionwereanalyzed.resultstheeuropeanstrokescore（ess）andbarthelindexscoreoftheobservationgroupwerehigherthanthoseofthecontrolgroup，andthedifferenceswerestatisticallysignificant（p0.05）.theincidenceratesofsmokinganddrinking，highfatdietandhighsaltdietintheobservationgroupwerelowerthanthoseinthecontrolgroup，andthedifferenceswerestatisticallysignificant（p0.05）.thegrossmotorfunctionscoreoftheobservationgroupafter3monthswashigherthanthatofthepre-interventionandcontrolgroups，andthedifferencew