CAJ | 학술논문

目的：探讨延续护理对脑卒中患者焦虑情绪及神经功能缺损的影响。方法将72例脑卒中患者随机分为对照组（36例）和观察组（36例），对照组施行常规护理；观察组在施行常规护理的基础上，进行延续护理：入院后针对患者及家属每48小时1次的健康教育，出院前24小时进行改进性出院护理指导，出院后第1、12周家庭随访，第2、3、4周各电话随访一次，此后第2、3月改为每月电话随访一次。采用汉密尔顿焦虑量表、改良斯堪的纳维亚脑卒中量表测评干预效果。结果出院3个月后，对照组与观察组的汉密尔顿焦虑量表、改良斯堪的纳维亚脑卒中量表得分比较，均有统计学意义（P＜0.05）。结论延续护理能缓解脑卒中患者的焦虑情绪，降低神经功能缺损情况。
목적：탐토연속호리대뇌졸중환자초필정서급신경공능결손적영향。방법장72례뇌졸중환자수궤분위대조조（36례）화관찰조（36례），대조조시행상규호리；관찰조재시행상규호리적기출상，진행연속호리：입원후침대환자급가속매48소시1차적건강교육，출원전24소시진행개진성출원호리지도，출원후제1、12주가정수방，제2、3、4주각전화수방일차，차후제2、3월개위매월전화수방일차。채용한밀이돈초필량표、개량사감적납유아뇌졸중량표측평간예효과。결과출원3개월후，대조조여관찰조적한밀이돈초필량표、개량사감적납유아뇌졸중량표득분비교，균유통계학의의（P＜0.05）。결론연속호리능완해뇌졸중환자적초필정서，강저신경공능결손정황。
Objective To explore the impact of transitional care on anxiety and neurologic impairment. Methods Seventy-two post-stroke patients were randomly divided into a control group(n=36) and an observation group(n=36).The control group received routine care, and the observation group received routine care plus a transition care program. The transitional care program included stroke health courses every 48 hours duration of hospital stay, improvements in health education before discharge, family fol ow-up on the 1、12weeks post-discharge, telephone fol ow-up on the 2、3、4weeks,and were the fol ow-up once a month over 3 month. The rating scales such as HAMA、MESSS were used to evaluate the effects. Results At the end of 3 month after discharge, the scores of HAMA、MESSS were significant differences between groups. Conclusion The transitional care program for post-stroke patients is effective in al eviating anxiety and defecting the neurologic impairment.