神经内科针对性护理干预措施对脑卒中偏瘫患者下肢静脉血栓形成的预防作用分析

摘要

目的 分析神经内科针对性护理干预措施对脑卒中偏瘫患者下肢静脉血栓形成的预防作用.方法 将2014年10月—2015年12到本院本院神经内科进行治疗的脑卒中偏瘫患者120例根据随机数表平均分为对照组和干预组.对照组给予常规护理,干预组在对照组的础上给予神经内科针对性护理干预.护理后,比较2组患者护理前后的遵医率、疾病相关知识掌握程度、下肢静脉血栓发生情况和护理效果.结果 护理干预前,2组患者的遵医率无显著差异(P＞0.05).干预后,干预组患者的正确用药、合理饮食、定时体检、戒烟限酒、功能锻炼、情绪控制遵医率均得到显著提高,与对照组比较差异显著(P＜0.05).干预组患者对于脑卒中偏瘫相关知识的知晓率显著高于对照组(P＜0.05).对照组患者护理有效率显著高于对照组(P＜0.05).对照组有3例(13.79％)出现下肢静脉血栓,干预组仅出现1例(1.61％)下肢静脉血栓患者,2组患者下肢静脉血栓发生情况差异显著(P＜0.05).结论 神经内科针对性护理干预能显著提高脑卒中偏瘫患者遵医率和疾病相关知识掌握程度,降低下肢静脉血栓发生率,提高护理效果,值得在临床护理工作中推广.%Objective To analyze the preventive effect of the targeted nursing intervention on lower limb venous thrombosis in patients with hemiplegia after stroke.Methods A total of 120 stroke cases from October 2014 to December 2015 in department of neurology in our hospital were divided into control group and intervention group according to random number table method.The control group was given routine nursing,and the intervention group was given targeted nursing intervention on the basis of the control group.After nursing,the compliance rate of two groups before and after nursing,mastery of disease related knowledge,the incidence of lower limb venous thrombosis and nursing effect were compared.Results There was no significant difference in medication compliance between the two groups before nursing intervention (P ＞ 0.05).In the intervention group,the correct medication,reasonable diet,regular physical examination,smoking cessation,functional exercise,mood control compliance rate were significantly improved,and there was significant difference compared with the control group (P ＜ 0.05).The awareness rate of the intervention group was significantly higher than that of the control group (P ＜ 0.05).The nursing effective rate was significantly higher in the intervention group than that of the control group,(43.10％ vs.85.94％,P ＜ 0.05).There were 3 cases(13.79％) with deep vein thrombosis in the control group,and 1case(1.61％) in the intervention group,there was significant difference in deep vein thrombosis (P ＜ 0.05).Conclusion The nursing intervention of department of neurology for stroke patients can significantly improve the compliance rate and disease related knowledge,reduce the incidence of venous thrombosis,improve the nursing effect,so it is worthy of promotion in clinical nursing work.