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投稿时间：2023-02-16 网络发布日期：2023-08-20
投稿时间：2023-02-16 网络发布日期：2023-08-20
中文摘要: 目的探讨视神经脊髓炎患者在治疗期间采取综合性护理对并发症发生率及护理满意度的影响。方法选取2020年6月至2022年5月就诊于首都医科大学附属北京天坛医院的视神经脊髓炎患者96例,按照随机数字表法分为对照组与观察组各48例。对照组采取常规护理,观察组采取综合性护理。比较两组患者的残疾功能状态与日常生活能力、自我管理行为、并发症发生率以及护理满意度。结果护理后,观察组扩展残疾状态量表（EDSS）评分低于治疗前和对照组,Barthel指数评定量表（BI）评分、自我管理行为总分高于治疗前和对照组,差异有统计学意义（P＜0.05）。观察组并发症总发生率低于对照组,差异有统计学意义（6.25%vs20.83%, χ2=4.359, P=0.037）。观察组护理总满意度高于对照组,差异有统计学意义（95.83%vs77.08%, χ2=7.207, P=0.007）。结论综合性护理有利于恢复患者的神经功能以及日常生活活动能力,提高患者的自我管理行为,降低并发症的发生,提高患者的护理满意度。
Abstract:ObjectiveTo explore the effects of comprehensive nursing during treatment on incidence of complications and nursing satisfaction in patients with neuromyelitis optica （NMO）. MethodsA total of 96 NMO patients admitted to Beijing Tiantan Hospital from June 2020 to May 2022 were selected and randomly divided into control group （with routine nursing, n=48） and observation group （with comprehensive nursing, n=48）. The functional disability, daily living ability, self-management behavior, incidence of complications and nursing satisfaction were compared between two groups. ResultsAfter nursing, the extended disability status scale （EDSS） score in observation group was significantly lower than that in control group and before nursing （P＜0.05）, and the Barthel index （BI） score and self-management behaviors score were significantly higher than those in control group and before nursing （P＜0.05）. In observation group, the total nursing satisfaction （95.83%vs77.08%, χ2=7.207, P=0.007） significantly increased, and the incidence of complications （6.25%vs 20.83%, χ2=4.359, P=0.037） significantly decreased compared with those in control group. ConclusionComprehensive nursing is more conducive to restoring neurological function and activities of daily living, improving the self-management behaviors and the nursing satisfaction of patients and reducing the occurrence of complications.
keywords: Comprehensive nursing Neuromyelitis optica Complications Nursing satisfaction Extended disability status scale Barthel index
文章编号： 中图分类号：R473.74 文献标志码：B
基金项目:
| Author Name | Affiliation |
| GUO Yuanyuan, CAI Jihong, LIANG Yanchun, YUAN Meng | Neurology Center, Beijing Tiantan Hospital, Capital Medical University, Beijing 100071, China |
引用文本：
郭媛媛，蔡继红，梁艳春，袁梦.综合性护理对视神经脊髓炎患者并发症的影响[J].中国临床研究,2023,36(8):1272-1275.
郭媛媛，蔡继红，梁艳春，袁梦.综合性护理对视神经脊髓炎患者并发症的影响[J].中国临床研究,2023,36(8):1272-1275.