Comprehensive management of intervention to unilateral spatial neglection and hypostatic pneumonia of patients with stroke

doi:10.3877/cma.j.issn.1674-1358.2016.05.022

Abstract

Abstract:

Objective

To evaluate the effect of the comprehensive management and intervention for stroke patients with unilateral spatial neglect (USN) during the early hospitalization.

Methods

Total of 40 hospitalized patients with USN were selected and randomly divided into the control group and the observation group, with 20 cases in each group. The patients in control group received the routine management conventional conbines aerosol inhalation; on this basis, while the patients in observation group were taken comprehensive management by the unilateral spatial neglect team.

Results

After the intervention of comprehensive management team of USN, the CBIT and MBI of patients in observation group were better than those of the control group (CBIT: 17.41±18.17 vs. 31.75±16.33; t = 2.625, P = 0.01. MBI: 85.38±14.25 vs. 71.49±11.12; t = 3.437, P = 0.002). The integrated management of patients in intervention group after the hypostatic pneumonia incidence rate was only 6.67%, significantly lower than that of the control group (33.3%), with significant difference (χ²= 9.62, P = 0.01). The management satisfaction was significantly higher than that of control group (χ²= 6.36, P = 0.001). The cure rate and the recovery of pateints in observation group were 70.00% and 25.00%, significantly higher than those of the control group (40.00% and 15.00%), with significant differences (χ²= 7.16, P = 0.012; χ²= 6.02, P = 0.01).

Conclusions

In the early days of hospitalization, the comprehensive management intervention for stroke patients with USN, had effectively reduced the degree of the patients with USN and leaded to long-term stay in bed and then hypostatic pneumonia incidence, with could greatly improve the self-care ability of the patient’s life, and improve the quality of life.

Key words: Early hospitalized, Comprehensive management intervention, Stroke, Unilateral spatial neglect.

Yang Peng, Yanyan Jiang, Xiuhui Wu, Dandan Chen. Comprehensive management of intervention to unilateral spatial neglection and hypostatic pneumonia of patients with stroke[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(05): 614-618.

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References 26

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组别	例数	CBIT		MBI
组别	例数	干预前	干预后	干预前	干预后
观察组	20	87.55±56.87	17.41±18.17	24.00±4.01	85.38±14.25
对照组	20	89.23±57.36	31.75±16.33	24.36±4.31	71.49±11.12
t值		0.093	2.625	0.267	3.437
P值		0.927	0.010	0.791	0.002

组别	例数	CBIT		MBI
组别	例数	干预前	干预后	干预前	干预后
观察组	20	87.55±56.87	17.41±18.17	24.00±4.01	85.38±14.25
对照组	20	89.23±57.36	31.75±16.33	24.36±4.31	71.49±11.12
t值		0.093	2.625	0.267	3.437
P值		0.927	0.010	0.791	0.002

分组	例数	非常满意	基本满意	不满意	满意率（%）
观察组	20	12	5	3	85.00
对照组	20	4	7	9	59.09

分组	例数	非常满意	基本满意	不满意	满意率（%）
观察组	20	12	5	3	85.00
对照组	20	4	7	9	59.09

分组	例数	治愈	好转	死亡
观察组	20	14（70.00）	5（25.00）	1（8.82）
对照组	20	8（40.00）	3（15.00）	9（45.00）
χ²值		7.160	6.020	7.080
P值		0.012	0.010	0.020

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