CAJ | 학술논문

目的：探讨脑卒中患者居家护理的效果及居家护理服务中面临的问题。方法：选取2012年5月-2014年1月于本院神经内科与神经康复科住院的脑卒中患者40例作为研究对象，采用随机数字表法将其分为对照组和观察组。出院后，对照组给予常规护理，观察组给予居家护理。比较出院前后两组患者的日常生活活动能力，焦虑、抑郁状况，评估居家护理的有效性并比较两组平均住院时间，对患者对居家护理工作满意度进行问卷调查。结果：两组出院后1个月的生活自理能力均有所提高，焦虑、抑郁程度改善，观察组出院后日常生活活动能力量表（ADL）、宗式焦虑量表（SAS）、宗式抑郁量表（SDS）评分均优于对照组，比较差异均有统计学意义（P<0.05）；观察组平均住院日短于对照组，患者满意度高于对照组，比较差异均有统计学意义（P<0.01）。结论：居家护理可以提高脑卒中患者的康复效率，具有良好的社会效益和经济效益。
목적：탐토뇌졸중환자거가호리적효과급거가호리복무중면림적문제。방법：선취2012년5월-2014년1월우본원신경내과여신경강복과주원적뇌졸중환자40례작위연구대상，채용수궤수자표법장기분위대조조화관찰조。출원후，대조조급여상규호리，관찰조급여거가호리。비교출원전후량조환자적일상생활활동능력，초필、억욱상황，평고거가호리적유효성병비교량조평균주원시간，대환자대거가호리공작만의도진행문권조사。결과：량조출원후1개월적생활자리능력균유소제고，초필、억욱정도개선，관찰조출원후일상생활활동능역량표（ADL）、종식초필량표（SAS）、종식억욱량표（SDS）평분균우우대조조，비교차이균유통계학의의（P<0.05）；관찰조평균주원일단우대조조，환자만의도고우대조조，비교차이균유통계학의의（P<0.01）。결론：거가호리가이제고뇌졸중환자적강복효솔，구유량호적사회효익화경제효익。
Objective:To investigate the effect and find the existing problems of home nursing in patients with stroke.Method:40 stroke patients in the departments of neurology and rehabilitation in our hospital from May 2012 to January 2014 were selected as the research objects.They were randomly divided into the observation group and the control group.The control group was given regular nursing care and the observation group was given home nursing after leaving hospital.Within one month after leaving hospital,the situations of activity of daily living,anxiety and depression in the two groups were compared in order to evaluate the effectiveness of home nursing.The average hospital stays of the two groups were compared and patients’ satisfaction to home nursing was surveyed by questionnaire.Result:Patients’ situations of activity of daily living,anxiety and depression in the two groups were better than before after they left hospital for one month.The mean scores of activity of daily living(ADL),self-rating anxiety scale(SAS) and self-rating depression scale(SDS) in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).The average hospital stays and patients’ satisfaction of the observation group were better than those of the control group,the differences were statistically significant(P<0.01).Conclusion:Home nursing may improve the recovery efficacy of patients with stroke.It has good social and economic benefit.