中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
8期
915-917
,共3页
卒中%延续护理%并发症%遵医行为
卒中%延續護理%併髮癥%遵醫行為
졸중%연속호리%병발증%준의행위
Stroke%Extended nursing%Complications%Medical compliance behavior
目的：观察延续护理干预对脑卒中患者出院后的影响,探讨提高脑卒中患者护理质量的措施。方法选择2010年5月—2012年10月收治的脑卒中患者72例,按照随机数字表法随机分为对照组36例和观察组36例,对照组出院后未给予护理干预,观察组出院后给予延续护理干预,比较两组患者出院后日常生活能力(ADL)评分、遵医行为、并发症及再次入院情况。结果两组患者出院时 Barthel指数比较差异无统计学意义(P >0.05)。观察组出院后1个月、3个月、6个月 Barthel 指数分别为(49.8±11.3),(57.5±13.7),(60.6±14.6),与对照组比较差异有统计学意义( t 值分别为2.017,2.115,2.096；P <0.05)。出院 6个月后观察组患者按计划康复训练、坚持合理饮食及作息、按时复诊随访的遵医行为优于对照组,差异有统计学意义(χ2值分别为4.963,4.531,5.573；P <0.05)。出院 6个月后观察组出现并发症4例,对照组11例,两组比较差异有统计学意义(χ2=4.32,P <0.05)；观察组再次入院 1例,对照组 6例,两组比较差异有统计学意义(χ2=3.956,P <0.05)。结论脑卒中患者出院后积极施行延续护理干预措施,可促进患者日常生活能力的恢复,提高患者遵医行为,减少并发症及再次入院的发生。
目的：觀察延續護理榦預對腦卒中患者齣院後的影響,探討提高腦卒中患者護理質量的措施。方法選擇2010年5月—2012年10月收治的腦卒中患者72例,按照隨機數字錶法隨機分為對照組36例和觀察組36例,對照組齣院後未給予護理榦預,觀察組齣院後給予延續護理榦預,比較兩組患者齣院後日常生活能力(ADL)評分、遵醫行為、併髮癥及再次入院情況。結果兩組患者齣院時 Barthel指數比較差異無統計學意義(P >0.05)。觀察組齣院後1箇月、3箇月、6箇月 Barthel 指數分彆為(49.8±11.3),(57.5±13.7),(60.6±14.6),與對照組比較差異有統計學意義( t 值分彆為2.017,2.115,2.096；P <0.05)。齣院 6箇月後觀察組患者按計劃康複訓練、堅持閤理飲食及作息、按時複診隨訪的遵醫行為優于對照組,差異有統計學意義(χ2值分彆為4.963,4.531,5.573；P <0.05)。齣院 6箇月後觀察組齣現併髮癥4例,對照組11例,兩組比較差異有統計學意義(χ2=4.32,P <0.05)；觀察組再次入院 1例,對照組 6例,兩組比較差異有統計學意義(χ2=3.956,P <0.05)。結論腦卒中患者齣院後積極施行延續護理榦預措施,可促進患者日常生活能力的恢複,提高患者遵醫行為,減少併髮癥及再次入院的髮生。
목적：관찰연속호리간예대뇌졸중환자출원후적영향,탐토제고뇌졸중환자호리질량적조시。방법선택2010년5월—2012년10월수치적뇌졸중환자72례,안조수궤수자표법수궤분위대조조36례화관찰조36례,대조조출원후미급여호리간예,관찰조출원후급여연속호리간예,비교량조환자출원후일상생활능력(ADL)평분、준의행위、병발증급재차입원정황。결과량조환자출원시 Barthel지수비교차이무통계학의의(P >0.05)。관찰조출원후1개월、3개월、6개월 Barthel 지수분별위(49.8±11.3),(57.5±13.7),(60.6±14.6),여대조조비교차이유통계학의의( t 치분별위2.017,2.115,2.096；P <0.05)。출원 6개월후관찰조환자안계화강복훈련、견지합리음식급작식、안시복진수방적준의행위우우대조조,차이유통계학의의(χ2치분별위4.963,4.531,5.573；P <0.05)。출원 6개월후관찰조출현병발증4례,대조조11례,량조비교차이유통계학의의(χ2=4.32,P <0.05)；관찰조재차입원 1례,대조조 6례,량조비교차이유통계학의의(χ2=3.956,P <0.05)。결론뇌졸중환자출원후적겁시행연속호리간예조시,가촉진환자일상생활능력적회복,제고환자준의행위,감소병발증급재차입원적발생。
Corresponding author:Zhang Hongmei, Email:z126hm@ 126. com Objective To observe the clinical influence of extended nursing intervention in the stroke patients after discharge, and explore the measures to improve the quality of nursing for stroke patients.Methods A total of 72 discharged stroke patients were randomly divided into control group ( n = 36 ) undergoing no nursing intervention and observation group ( n = 36 ) which receiving extended nursing intervention. We compared the Activities of Daily Living ( ADL) scores, medical compliance behavior, complications and re-hospitalization of the two groups. Results Barthel index of patients in the two groups had no statistically significance (P > 0. 05). After discharge 1 month, 3 months and 6 months, the Barthel index in the observation group were (49. 8 ± 11. 3), (57. 5 ± 13. 7) and (60. 6 ± 14. 6) ,which were statistically significant with those of the control group (t = 2. 017, 2. 115, 2. 096,respectively;P < 0. 05). After 6 months of discharge, the training according to rehabilitation plan, insisting reasonable diet and rest, following medical compliance behavior in the intervention group were better than those of the control group (χ2 = 4. 963, 4. 531, 5. 573, respectively;P < 0. 05). The incidences of complication were 4 cases in the intervention group compared with 11 cases in the control group ( χ2 = 4. 32,P < 0. 05), and there were 1 case of re-hospitalization in the intervention group and 6 cases in the control group ( χ2 = 3. 956, P < 0. 05) after 6 months discharged.Conclusions The stroke patients should be actively given the extended nursing intervention after discharge, since it can promote the recovery of activities of daily living, patients′ medical compliance behavior and reduce the incidence of complications and re-hospitalization.
