摘要目的:探讨叙事护理在中青年脑卒中护理中的效果。方法:选取2022年2月至2024年1月于延安大学咸阳医院神经外科收治的300例中青年出血性脑卒中患者，采用随机数字表法分为观察组( n＝150，实施叙事护理)和对照组( n＝150，实施常规护理)。对比两组并发症发生率，采用美国国立卫生研究院卒中量表(NIHSS)和一般自我效能感量表(GSES)，分别评估两组患者入院当日、出院前1 d的卒中评分及自我效能感。 结果:入院当日，两组GSES量表评分及NIHSS量表评分对比差异无统计学意义( P>0.05)；出院前1 d，对照组GSES量表评分低于观察组，差异有统计学意义( P<0.05)；观察组并发症发生率及NIHSS量表评分均低于对照组，差异有统计学意义(均 P<0.05)。 结论:叙事护理可减少中青年脑卒中患者并发症的发生，改善其卒中症状及自我效能感。

abstractsObjective:To explore the effect of narrative nursing in the nursing of young and middle-aged stroke patients.Methods:A total of 300 young and middle-aged patients with hemorrhagic stroke admitted to the Neurosurgery Department of Xianyang Hospital of Yan 'an University from February 2022 to January 2024 were selected and divided into the observation group (implemented narrative nursing) and the control group (implemented routine nursing) by random number table method, with 150 cases in each group.The complication rate of the two groups was compared.The stroke score and self-efficacy of the two groups were evaluated by the National Institutes of Health Stroke Scale (NIHSS) and the General Self-Efficacy Scale (GSES) on the day of admission and 1 day before discharge, respectively.Results:On the day of admission, there was no significant difference in GSES and NIHSS scores between the two groups ( P>0.05).One day before discharge, the GSES scale score of the control group was lower than that of the observation group, and the difference was statistically significant ( P<0.05).The complication rate and NIHSS scale score of the observation group were lower than those of the control group, and the differences were statistically significant ( P<0.05). Conclusions:Narrative nursing can reduce the incidence of complications and improve stroke symptoms and self-efficacy in young and middle-aged stroke patients.