目的 探讨团队式护理对脑卒中患者脑心综合征发生率的影响.方法 选取2015年5月—2016年4月笔者所在医院收治的脑卒中患者106例,依据随机数字表法分为观察组和对照组,分别进行团队式护理和常规护理,比较两组脑心综合征发生率、病死率、心肌酶谱异常情况和护理效果.结果 观察组、对照组的脑心综合征发生率分别为20.75%、58.49%,病死率分别为1.89%、9.43%.观察组的谷草转氨酶、肌酸激酶、肌酸激酶同工酶、α-羟丁酸脱氢酶、乳酸脱氢酶水平均明显低于对照组,差异有统计学意义(P<0.05).观察组、对照组的护理满意度分别为96.23%、79.25%,护理责任度分别为94.34%、77.36%,知识知晓率分别为94.34%、66.04%,差异均有统计学意义(P<0.05).结论 团队式护理模式能够明显降低脑卒中患者脑心综合征发生率,改善患者心肌酶谱,降低临床死亡风险.%Objective To explore the effects of team-based nursing on the incidence of brain heart syndrome (BHS) in stroke patients.Methods Totals of 106 stroke patients who were hospitalized in Guangyuan First People's Hospital from May 2015 to April 2016 were selected into the study. The participants were divided into two groups based on a random number table. The control group received routine care while the intervention group received team-based care. The incidence and mortality of BHS, abnormal myocardial enzyme, and nursing effect between the two groups were compared.Results The intervention group had a lower incidence rate (20.75% vs 58.49%) and mortality rate (1.89% vs 9.43%) for BHS compared with the control group. Patients in the intervention group had a significantly lower level of aspertate aminotransferase, creatine kinase, creatine kinase isoenzyme, α-hydroxybutyric acid dehydrogenase, and lactate dehydrogenase compared with patients in the control group (P<0.05). The intervention group had a higher nursing satisfaction (96.23% vs 79.25%), nursing responsibility (94.34% vs 77.36%) and knowledge rate (94.34% vs 66.04%) compared with the control group (P<0.05).Conclusions Team-based nursing can significantly decrease the incidence and mortality of BHS in stroke patients. It can improve patients' myocardial enzymes and optimize nursing effect.
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