刘云霞 柴雪秋

【摘要】 目的：探讨三位一体护理干预模式对脑梗死患者神经功能及生活质量的影响。方法：选择2018年1月-2019年8月本院收治的脑梗死患者172例。按随机数字表法将其分为观察组和对照组，各86例。对照组采取常规护理，观察组在对照组基础上实施三位一体护理。比较两组干预前及干预3个月后的美国国立卫生研究院卒中量表（NIHSS）、Barthel指数（BI）及健康调查简表（SF-36）评分。结果：干预前，两组NIHSS、BI、SF-36评分比较，差异均无统计学意义（P>0.05）;干预后，观察组NIHSS评分低于对照组，BI评分高于对照组，差异均有统计学意义（P<0.05）。干预后，观察组SF-36各维度评分均高于对照组，差异均有统计学意义（P<0.05）。结论：三位一体护理干预能够促进脑梗死患者神经功能恢复，提高患者日常生活能力及生活质量。

【关键词】 脑梗死 三位一体护理 神经功能 日常生活能力 生活质量

Effect of Trinity Nursing Intervention Mode on Neurological Function and Quality of Life of Patients with Cerebral Infarction/LIU Yunxia， CHAI Xueqiu. //Medical Innovation of China， 2021， 18（01）： -104

[Abstract] Objective： To explore the effect of the trinity nursing intervention mode on the neurological function and quality of life of cerebral infarction patients. Method： A total of 172 patients with cerebral infarction admitted to our hospital from January 2018 to August 2019 were selected. According to the random number table method， they were divided into observation group and control group， 86 cases in each group. The control group was given routine nursing， while the observation group was given Trinity nursing on the basis of the control group. National Institutes of Health Stroke Scale （NIHSS）， Barthel Index （BI） and the MOS item short from health survey （SF-36） scores were compared between the two groups before and after 3 months of intervention. Result： Before intervention， there were no significant difference in NIHSS， BI and SF-36 scores between the two groups （P>0.05）. After the intervention， NIHSS score of the observation group was lower than that of the control group， and BI score was higher than that of the control group， the differences were statistically significant （P<0.05）. After intervention， SF-36 scores in all dimensions in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： The trinity nursing intervention can promote the neurological function recovery of cerebral infarction patients and improve their daily living ability and quality of life.

[Key words] Cerebral infarction Trinity nursing Nerve function Ability of daily life Quality of life

First-authors address： Yingkou Hospital of Traditional Chinese Medicine， Yingkou 115000， China

doi：10.3969/j.issn.1674-4985.2021.01.026

腦梗死是常见神经系统疾病，多是由局部脑组织受血液供应不足而出现坏死与脑组织软化，具有较高发病率、致残率，会导致患者不同程度躯体功能及神经功能障碍，严重影响患者日常生活，降低生活质量[1-2]。康复干预是改善患者预后的关键，但脑梗死患者护理与康复是一个复杂且漫长的过程，仅仅依靠院内护理无法满足患者康复需求，患者出院后更需要社区及家庭的支持[3]。三位一体护理将医院、社区及家庭三方面有效结合，依据患者病情及实际情况，对患者实施针对性、系统化护理干预，以促进患者早日康复。鉴于此，本研究将探究三位一体护理干预模式在脑梗死患者中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料 选择2018年1月-2019年8月本院收治的脑梗死患者172例。（1）纳入标准：符合脑梗死诊断标准[4];发病至入院时间≤72 h。（2……