脑梗死患者预后相关影响因素及护理风险管理措施

Factors influencing prognosis and nursing risk management measures in patients with cerebral infarction

  • 摘要:
    目的  探讨影响脑梗死(CI)患者预后的相关因素及护理风险管理措施。
    方法  回顾性分析80例CI患者的研究资料,所有患者均采取风险管理,评估预后情况,分为预后良好组58例和预后不良组22例。收集患者一般资料和疾病相关特征,经Logistic回归方程分析有差异项目,得出影响患者预后情况的因素,并绘制受试者工作特征(ROC)曲线分析上述因素预测预后不良的价值。
    结果  预后不良组在年龄、基线美国国立卫生研究院卒中量表(NIHSS)评分、合并高血压方面与预后良好组比较,差异有统计学意义(P < 0.05); 经Logistic回归方程分析,上述指标均是患者预后不良的影响因素, 曲线下面积在0.676~0.723, 其灵敏度和特异度较高。
    结论  CI患者预后不良的影响因素较多,如年龄、基线NIHSS评分、合并高血压,对患者预后不良具有一定预测价值。

     

    Abstract:
    Objective  To investigate the factors influencing the prognosis of patients with cerebral infarction (CI) and nursing risk management measures.
    Methods  A retrospective analysis was conducted in 80 CI patients as study subjects. All patients underwent risk management, and their prognosis was assessed, with 58 patients in good prognosis group and 22 patients in poor prognosis group. General patient data and disease-related characteristics were collected, and differences were analyzed using the Logistic regression equation to identify factors influencing patient prognosis. A receiver operating characteristic (ROC) curve was plotted to analyze the predictive value of these factors for poor prognosis.
    Results  There were statistically significant differences between the poor prognosis group and the good prognosis group in terms of age, baseline National Institutes of Health Stroke Scale (NIHSS) score, and the presence of comorbid hypertension (P < 0.05). Logistic regression analysis revealed that these indicators were all influencing factors for poor prognosis in patients, with area under the curve values ranging from 0.676 to 0.723, indicating high sensitivity and specificity.
    Conclusion  Multiple factors, such as age, baseline NIHSS score, and comorbid hypertension, influence poor prognosis in CI patients and have certain predictive value for poor prognosis.

     

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