摘要
目的探讨身心整体护理对老年急性脑梗死患者认知功能及预后的改善作用。方法选择98例老年急性脑梗死患者为研究对象,以随机数字表法分为观察组和对照组各49例,对照组患者接受常规护理,观察组患者在此基础上开展身心整体护理,对2组患者护理干预后认知功能及预后结局进行观察。结果干预前2组患者MMSE评分无显著差异(P>0.05),干预2周、6周、12周后均呈上升趋势,且观察组干预后MMSE评分显著高于对照组(P<0.05);2组患者干预前生活质量评分无显著差异(P>0.05),干预后均有改善,且观察组生活质量评分显著较对照组高(P<0.05);观察组痊愈率显著高于对照组,病死率及致残率显著低于对照组(P<0.05)。结论老年急性脑梗死患者接受身心整体护理有利于认知功能恢复,可有效提高生存质量,改善预后结局,值得临床推广。
Objective To study effect of integrated physical and mental nursing on improving cognitive function and prognosis of elderly patients with acute cerebral infarction. Methods A total of 98 elderly patients with acute cerebral infarction were selected as research objects,and were divided into observation group with 49 cases and control group with 49 cases by random number table method,the control group received routine nursing and observation group carried out integrated physical and mental nursing on the basis of the control group. Cognitive function and prognosis after nursing intervention of two groups were observed. Results There was no significant difference in MMSE score before intervention in two groups（ P 〉 0. 05）. And MMSE scores in two groups were increased after 2 weeks,6 weeks,and 12 weeks after intervention,and the observation group had higher MMSE scores compared with the control group（ P 〈 0. 05）. No significant difference was observed in life quality score before intervention（ P 〉 0. 05）,but it was significantly improved in both groups after intervention,and the observation group obtained higher score compared with the control group（ P 〈0. 05）. The observation group had higher recovery rate and lower mortality and disability rate compared with the control group（ P 〈 0. 05）. Conclusion Integrated physical and mental nursing for elderly patients with acute cerebral infarction can effectively improve cognitive function,enhance survival rate and prognosis,so it is worthy of clinical promotion.
出处
《实用临床医药杂志》
CAS
2016年第4期14-17,共4页
Journal of Clinical Medicine in Practice
关键词
预后
认知功能
老年急性脑梗死
身心整体护理
prognosis
cognitive function
elderly patients with acute cerebral infarction
integrated physical and mental nursing
