内科

目的探讨“零缺陷”护理管理理念在急性脑梗死（ACI）介入治疗围手术期中的应用效果。方法采用随机对照研究设计，选择80例ACI拟进行介入治疗的患者为研究对象，按随机数字表将其分为对照组和观察组，每组40例。对照组接受常规护理管理，在此基础上，观察组接受“零缺陷”护理管理理念护理。比较两组干预前、随访3个月时的神经功能［美国国立卫生研究院卒中量表（NIHSS）］、生活质量［健康状况调查简表（SF-36）］，住院期间脑出血、穿刺部位血肿、颅内感染等并发症的总发生情况，以及护理满意度。结果干预前，两组NIHSS评分、SF-36评分差异均无统计学意义（均P>0.05）；随访3个月时，两组NIHSS评分均较前降低，SF-36评分均较前提高，且观察组NIHSS评分低于对照组，SF-36评分高于对照组（均P<0.05）；观察组住院期间脑出血、穿刺部位血肿、颅内感染等并发症的总发生率低于对照组（P<0.05），护理总满意度高于对照组（P<0.05）。结论在ACI介入治疗围手术期应用“零缺陷”护理管理理念护理，可有效地促进患者神经功能的恢复，提升生活质量，降低并发症发生率，并提高患者对护理工作的满意度。

Objective To explore the application effect of the "Zero-Defect" nursing management concept in the perioperative period of interventional therapy for acute cerebral infarction (ACI). Methods A randomized controlled trial design was adopted, eighty ACI patients who had scheduled for interventional therapy were selected as the study subjects, and they were divided into a control group or an observation group using a random number table, with 40 patients in each group. The control group received routine nursing management, based on which the observation group received nursing care guided by the "Zero-Defect" nursing management concept. Neurological function (National Institutes of Health Stroke Scale [NIHSS]) and quality of life (36-item Short Form Health Survey [SF-36]) before the intervention and at 3 months of follow-up, the overall incidence of complications during hospitalization (including cerebral hemorrhage, puncture site hematoma, and intracranial infection), and nursing satisfaction were compared between the two groups. Results Before the intervention, there was no statistically significant difference in the NIHSS score or the SF-36 score between the two groups (all P>0.05). At 3 months of follow-up, NIHSS scores decreased and SF-36 scores increased in both groups compared to baseline; furthermore, the NIHSS score in the observation group was lower than that in the control group, and the SF-36 score was higher than that in the control group (all P<0.05); the overall incidence of complications during hospitalization (including cerebral hemorrhage, puncture site hematoma, and intracranial infection) was lower in the observation group than in the control group (P<0.05), and the overall nursing satisfaction was higher in the observation group than in the control group (P<0.05). Conclusion The application of the "Zero-Defect" nursing management concept in the perioperative care of interventional therapy for ACI can effectively promote the recovery of patients' neurological function, improve quality of life, reduce the incidence of complications, and enhance patients' satisfaction with nursing care.