Cerebral infarction is a kind of cerebral vascular disease, the cause is the brain due to hypoxia ischemia leads to tissue necrosis and softening phenomenon, cerebral infarction can be divided into cerebral thrombosis and cerebral embolism, caused by the cerebral arteries atherosclerosis cerebral infarction said is cerebral thrombus and from other parts of the embolus shedding cycle into blood vessels in the brain caused by cerebral infarction that cerebral embolism, cerebral infarction disease often in the elderly, the disease often accompanied by hypertension, coronary heart disease, diabetes and other complications, the disease on the human body harm great [1-2].
1 data and methods.
1.1 average data this academy in February February 2013 to 2014, received a total of 78 cases of senile cerebral infarction patients, and randomly assigned to the observation group and the control group with 39 cases in each. In the control group, there were 24 male, 15 female patients; age 54-76 years old, average 62.8 years; 17 cases of dizziness, headache, 9 cases of transient numbness of the extremities, 12 patients with disturbance of consciousness, 1 cases of coma. In the observation group, 24 were male, 15 female patients; old age 55~77, average of 63.7 years; 17 cases of dizziness, headache, 8 cases of transient numbness of the extremities, 12 patients with disturbance of consciousness, 2 cases of coma. Comparison of two groups of patients with age, sex, illness, etc., the difference was not statistically significant (P > 0.05), with comparability.
1.2 method.
1.2.1 the controls basic nursing: in front of the patients admitted to the hospital for treatment, guide the patients to carry out the inspection, record the patient's name, age, gender, disease status, in patients during hospitalization for patients of simple life care, according to the condition of patients and patients communicate to understand the changes of patients with the disease, in a timely manner to doctors report, rounds on a regular basis to solve patients with existing problems.
1.2.2 observation group using quality care.
1.2.2.1 health education in elderly patients with cerebral infarction disease only the most vague concept, can only passively accept treatment, not self conditioning, so health education for elderly patients with cerebral infarction, the understanding of the causes, symptoms, treatment, nursing and prognosis of cerebral infarction, to carry out health education activities are the main methods of expert discussion will, doctor-patient interaction, special lectures, so that doctors and patients face to face, to resolve the difficult problems of patients, understanding the patient's living habits, and urge them to correct bad habits, so that patients can correct understanding of cerebral infarction in the elderly, according to the doctor to teach correct their own bad habits, and promote the rehabilitation of [4-5]. disease
1.2.2.2 in patients with mental health care in elderly patients with cerebral infarction often dizziness, headache, facial or body paralysis, incontinence and other symptoms, these diseases will weaken their confidence in life, feel that they are social and family burden, will produce despair and even suicidal thoughts, so in the nursing of elderly patients should take the initiative to communicate with patients that should keep the gracious attitude in the process of communication, to treat patients as relatives, encourage patients to reduce the patients psychological depression, at the same time, the medical staff should communicate with family members of patients, the patient's understanding of family environment and social pressure, through which to develop psychological rehabilitation therapy, effective for patients such as AC release method comfort, action method, music therapy method [6], timely solve the psychological needs of patients in nursing, patients, medical staff We should treat the patient and family to patient friendly attitude, with strong sense of responsibility to the care of patients, improve the cure rate of patients.
Patients with 1.2.2.3 should be the first choice of diet and exercise in nursing of cerebral infarction can lower blood pressure, lowering blood lipids, soften blood vessels of the food in the choice of food, food therapy can effectively improve the treatment effect of the patients, the medical personnel in the arrangement of the patient's diet, should according to the patient's condition becomes reasonable collocation of food of patients with [7]. combined cerebral infarction in the elderly will be different the degree of numbness or paralysis, to facilitate the movement of patients, medical personnel should be replaced with the sheets and quilt regularly, ensure the patients living with neat and regular massage therapy on patients with compression, to avoid pressure sores, independent movement of patients, medical staff should formulate appropriate exercise for patients. Urge patients to exercise, promote blood circulation, prevent the deterioration of the condition [8-9].
1.3 improved evaluation standard: patients showing signs of improvement, with action to alleviate the symptoms gradually recovered. Patients' satisfaction to nursing mode: very satisfied (for nursing mode very satisfactory without any objection), satisfactory (on nursing satisfaction but had smaller objection) and not satisfied (exclusive). Total satisfaction = (very satisfied with the case number and satisfied with the number of cases with the nursing mode) / total number of cases x 100%.
1.4 statistically using SPSS20.0 statistical software for data analysis, count data expressed as the rate of the 2 test. P<0.05 difference was statistically significant.
2 knot fruit.
The control group were improved in 13 cases (33.33%), of nursing mode is not satisfied with 22 cases (56.41%), with 9 cases (23.08%), satisfactory in 8 cases (20.51%), and the observation group improved in 26 cases (66.67%), the nursing mode unsatisfactory in 4 cases (10.26%), with 17 cases (43.59%), very satisfied with 18 cases (46.15%), two groups. The differences were statistically significant (P < 0.05). See Table 1
3 discussion.
High quality nursing care refers to the more detailed and comprehensive on the basis of basic nursing, emphasizing the nursing professional knowledge, good quality nursing service to patients, follow the patient centered concept, improve service quality, the high quality nursing content mainly includes: to solve the treatment needs of patients, nursing patients with safe and comfortable environment, to help patients with psychological rehabilitation, and patients and their families to maintain a good doctor-patient relationship and the harm of [11]. cerebral infarction on the human body is great, the quality nursing model applied to elderly patients with cerebral infarction and nursing in elderly patients with cerebral infarction should be care to be perfect, is conducive to the rehabilitation of elderly patients. Therefore, it is of high quality nursing service to help to improve the therapeutic effect of senile cerebral infarction patients, from the aspects of psychology, diet, exercise of patients for nursing care of a full range of, greatly meet the patient's psychological and physiological needs, and improve the quality of life of patients with old age, improve the satisfaction of patients.
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