中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
3期
309-311,312
,共4页
李葆华%王艳%董玉静%裴月红%樊东升
李葆華%王豔%董玉靜%裴月紅%樊東升
리보화%왕염%동옥정%배월홍%번동승
缺血性脑卒中%护理干预%延续性护理%危险因素
缺血性腦卒中%護理榦預%延續性護理%危險因素
결혈성뇌졸중%호리간예%연속성호리%위험인소
ischemic stroke%intervention%transitional care%risk factors
目的：探讨接受出院后护理干预的缺血性脑卒中患者遵医行为变化及卒中危险因素的控制情况。方法：采用自身实验前后对照设计。对符合入选条件的66例患者，按照Essen评分分级设计个体化随访干预方案，干预内容包括根据患者情况进行针对性的脑卒中健康教育，督促患者按时复诊，定期监测血压、血糖等指标，干预时间为1年。比较干预前后患者遵医行为的情况以及相关危险因素的控制情况。结果：接受出院后护理干预的66例脑卒中患者服药依从性较好，超重和肥胖率较干预前有下降的趋势（45.4%vs 42.4%），血压、血糖控制率较干预前有升高的趋势（分别为84.8%vs 92.4%，81.8%vs 83.3%）。血压、血糖、血脂低于干预前水平(P<0.05)，复发和病死率均为0。结论：缺血性脑卒中患者出院后延续性护理干预研究中的研究对象的遵医行为和卒中危险因素控制水平较好，复发率和病死率非常低。
目的：探討接受齣院後護理榦預的缺血性腦卒中患者遵醫行為變化及卒中危險因素的控製情況。方法：採用自身實驗前後對照設計。對符閤入選條件的66例患者，按照Essen評分分級設計箇體化隨訪榦預方案，榦預內容包括根據患者情況進行針對性的腦卒中健康教育，督促患者按時複診，定期鑑測血壓、血糖等指標，榦預時間為1年。比較榦預前後患者遵醫行為的情況以及相關危險因素的控製情況。結果：接受齣院後護理榦預的66例腦卒中患者服藥依從性較好，超重和肥胖率較榦預前有下降的趨勢（45.4%vs 42.4%），血壓、血糖控製率較榦預前有升高的趨勢（分彆為84.8%vs 92.4%，81.8%vs 83.3%）。血壓、血糖、血脂低于榦預前水平(P<0.05)，複髮和病死率均為0。結論：缺血性腦卒中患者齣院後延續性護理榦預研究中的研究對象的遵醫行為和卒中危險因素控製水平較好，複髮率和病死率非常低。
목적：탐토접수출원후호리간예적결혈성뇌졸중환자준의행위변화급졸중위험인소적공제정황。방법：채용자신실험전후대조설계。대부합입선조건적66례환자，안조Essen평분분급설계개체화수방간예방안，간예내용포괄근거환자정황진행침대성적뇌졸중건강교육，독촉환자안시복진，정기감측혈압、혈당등지표，간예시간위1년。비교간예전후환자준의행위적정황이급상관위험인소적공제정황。결과：접수출원후호리간예적66례뇌졸중환자복약의종성교호，초중화비반솔교간예전유하강적추세（45.4%vs 42.4%），혈압、혈당공제솔교간예전유승고적추세（분별위84.8%vs 92.4%，81.8%vs 83.3%）。혈압、혈당、혈지저우간예전수평(P<0.05)，복발화병사솔균위0。결론：결혈성뇌졸중환자출원후연속성호리간예연구중적연구대상적준의행위화졸중위험인소공제수평교호，복발솔화병사솔비상저。
Objective:To explore the effect of transitional care intervention on behavior compliance and risk factors control for ischemic stroke patients who discharged from hospital. Methods:It was a before-after designed study. A one-year nurse-led transitional care intervention was implemented to 66 new ischemic stroke patients who discharged from the hospital. The intervention included the following components:health education about stroke risk factors control, encouraging regular follow-ups, blood pressure and blood tests (e.g., blood sugar) monitoring. The intervention plan was modified according to patients Essen’s classiifcation. T-tests and Chi-Square tests were used to analyze the data. Results:Sixty-six ischemic stroke patients demonstrated good behaviors compliance. Although no statistically significant changes were identified, the number of the participants with overweight and obesity decreased (45.4%vs 42.4%);and controlled rates of blood pressure and blood sugar showed a trend of increase (84.8%vs 92.4%, 81.8%vs 83.3%, respectively). The levels of blood pressure, blood glucose, blood lipid statistically signiifcantly decreased (P<0.05). No recurrence and death occurred during the study period. Conclusion:The patients in this study showed compliant behaviors and better risk factors control of stroke, and the recurrence and mortality rate were relatively low.
