延续性护理在提高脑卒中患者生活质量及改善心理状况中的应用效果
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摘要
目的探讨延续性护理在提高脑卒中患者的生活质量及心理状况中的应用效果。方法选取2015年4月～2017年4月在我院就诊的100例脑卒中患者,按照随机数字表法分为对照组和护理组,每组各50例,护理组在常规护理的基础上给予延续性护理;对照组给予常规护理措施。3个月后,比较两组在不同护理条件下康复依从性,生活质量和心理状况的差别。结果延续性护理3个月后,对照组在康复锻炼和复查随诊及总分较护理前明显提高,差异有统计学意义(P<0.05);护理组康复依从性总分为(11.04±1.41)分,对照组为(8.58±1.63)分,护理组总分和各项目评分显著高于对照组,差异有统计学意义(P<0.05);两组简明健康状况量表(SF-36)评分和Barthel指数明显高于护理前,且护理后护理组SF-36评分为(68.54±9.81)分,Barthel指数为(75.82±2.17)分,对照组SF-36评分为(60.43±10.14)分,Barthel指数为(67.43±2.35)分,护理组显著高于对照组,差异有统计学意义(P<0.05);两组的神经功能缺损(NIHSS)评分明显低于护理前,且护理组为(3.22±1.12)分,对照组为(3.73±1.07)分,护理组显著低于对照组,差异有统计学意义(P<0.05);两组的汉密尔顿抑郁量表、汉密尔顿焦虑量表评分显著低于护理前,且护理组汉密尔顿抑郁量表评分为(7.82±2.74)分,汉密尔顿焦虑量表评分为(8.51±2.83)分,对照组的汉密尔顿抑郁量表评分为(10.53±2.41)分,汉密尔顿焦虑量表评分为(11.93±2.12)分,护理组的评分均低于对照组,差异有统计学意义(P<0.05)。结论延续性护理可明显提高脑卒中患者的生活质量和改善心理状况。
Objective To explore the application effect of continuous nursing on the quality of life and psychological status of stroke patients. Methods 100 patients with stroke treated in our hospital from April 2015 to April 2017 were selected. They were divided into the control group and the nursing group according to random number table method, 50 cases in each group. The nursing group was given continuous nursing on the basis of routine nursing, the control group was given routine nursing measures. The rehabilitation compliance, quality of life, and psychological status were observed after three months. Results After 3 months, the control group showed significant improvement in rehabilitation exercise and review follow-up and total score compared with before nursing, with statistical differences(P<0.05). The scores of the rehabilitation in nursing group was(11.04±1.41) points, the scores of the rehabilitation in control group was(8.58±1.63) points, and the total score and item score of nursing group were significantly higher than those of control group, with statistical differences(P<0.05). The SF-36 score and the Barthel index of two groups were significantly higher than those before the treatment, the scores of SF-36 of the nursing group was(68.54±9.81) points, the Barthel index was(75.82±2.17) points, the scores of SF-36 of the control group was(60.43±10.14) points, the Barthel index was(67.43±2.35) points, the SF-36 and the Barthel index in nursing group were hingher than that of control group,with statistical difference(P<0.05). NIHSS score of nursing group was(3.22±1.12) points, and NIHSS score of control group was(3.73±1.07) points, nursing group was higher than that in the control group, with statistical difference(P<0.05). The Hamilton depression and anxiety scores in the nursing group were(7.82±2.74) points and(8.51±2.83) points,and Hamilton depression and anxiety scores in control group were(10.53±2.41) points and(11.93±2.12) points, the Hamilton depression and anxiety scores in nursing group were lower than those in the control group, with statistical differences(P<0.05). Conclusion Continuous nursing can significantly improve the quality of life of stroke patients and improve their mental status.
Objective To explore the application effect of continuous nursing on the quality of life and psychological status of stroke patients. Methods 100 patients with stroke treated in our hospital from April 2015 to April 2017 were selected. They were divided into the control group and the nursing group according to random number table method, 50 cases in each group. The nursing group was given continuous nursing on the basis of routine nursing, the control group was given routine nursing measures. The rehabilitation compliance, quality of life, and psychological status were observed after three months. Results After 3 months, the control group showed significant improvement in rehabilitation exercise and review follow-up and total score compared with before nursing, with statistical differences(P<0.05). The scores of the rehabilitation in nursing group was(11.04±1.41) points, the scores of the rehabilitation in control group was(8.58±1.63) points, and the total score and item score of nursing group were significantly higher than those of control group, with statistical differences(P<0.05). The SF-36 score and the Barthel index of two groups were significantly higher than those before the treatment, the scores of SF-36 of the nursing group was(68.54±9.81) points, the Barthel index was(75.82±2.17) points, the scores of SF-36 of the control group was(60.43±10.14) points, the Barthel index was(67.43±2.35) points, the SF-36 and the Barthel index in nursing group were hingher than that of control group,with statistical difference(P<0.05). NIHSS score of nursing group was(3.22±1.12) points, and NIHSS score of control group was(3.73±1.07) points, nursing group was higher than that in the control group, with statistical difference(P<0.05). The Hamilton depression and anxiety scores in the nursing group were(7.82±2.74) points and(8.51±2.83) points,and Hamilton depression and anxiety scores in control group were(10.53±2.41) points and(11.93±2.12) points, the Hamilton depression and anxiety scores in nursing group were lower than those in the control group, with statistical differences(P<0.05). Conclusion Continuous nursing can significantly improve the quality of life of stroke patients and improve their mental status.
引文
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[15]高佳琦,戴佳芯.老年缺血性脑卒中患者延续性护理干预对疾病复发影响的研究[J].科研,2017,(1):192.
[2]夏蕊.脑卒中延续性护理的研究进展[J].现代临床医学,2016,42(4):310-312.
[3]中华医学会神经病学分会神经康复学组.中国脑卒中康复治疗指南(2011完全版)[J].中国医学前沿杂志,2012,4(6):55-76.
[4]杨亚平,张振香.脑卒中病人生活质量评定工具的研究进展[J].护理研究,2011,25(32):2925-2927.
[5]张敏,汪友兰,刘蕾,等.脑卒中患者的延续性护理效果评估[J].护理学杂志,2015,30(5):30-32.
[6]谢歌,于小萌,田惠杰.延续性护理在缺血性脑卒中病人中的应用效果[J].护理研究,2016,30(17):2079-2082.
[7]钱春荣.脑卒中患者延续护理方案的建立和效果评价[D].广州:第三军医大学,2011.
[8]曹燕.我国脑卒中患者延续性护理的实施现状[J].山西医药杂志,2015,44(19):2255-2258.
[9]郜慧青.医院-社区-家庭对接的延续性护理在脑卒中康复期患者中的应用[J].中国药物与临床,2016,16(10):1537-1540.
[10]杨林,石鑫,文月珍,等.延续性护理在脑卒中患者康复中的应用[J].护理实践与研究,2015,12(7):13-15.
[11]许继晗,苏永静,黄贤丽,等.脑卒中患者延续性护理的研究进展[J].现代临床护理,2012,11(6):83-86.
[12]杨杰妹,潘成艳,叶爱素,等.延续性护理对脑卒中患者生活质量及心理状况的影响[J].中华现代护理杂志,2016,22(10):1430-1432.
[13]蒙彩英,王艳丽.延续性护理对脑卒中患者健康行为的影响[J].广东医学,2017,38(4):651-653.
[14]韩斗玲,吕金菊.延续性护理对老年脑卒中患者生活能力的影响[J].卫生职业教育,2017,35(11):143-145.
[15]高佳琦,戴佳芯.老年缺血性脑卒中患者延续性护理干预对疾病复发影响的研究[J].科研,2017,(1):192.