延续护理在改善脑卒中患者睡眠质量及促进神经功能康复中的作用
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摘要
目的探究延续护理在改善脑卒中患者睡眠质量及促进神经功能康复中的作用。方法选取2017年5月～2018年2月我院收治的67例脑卒中患者,以随机数字表法分为对照组(33例)和观察组(34例)。对照组患者给予常规出院指导,观察组在对照组基础上给予延续护理,连续随访6个月。比较两组患者生活质量、睡眠质量及神经功能康复情况、遵医行为以及护理满意度。结果干预后,两组患者躯体功能、心理功能、社会功能、物质生活状态评分均增加,且观察组显著高于对照组(P <0.05);干预后,两组患者睡眠质量评分减小,FMA和MBA评分均升高,且观察组睡眠质量评分显著低于对照组,FMA和MBA评分显著高于对照组(P <0.05);两组患者依从性存在差异(Z=-2.063,P=0.039),其中观察组依从率显著高于对照组(97.06%vs 75.76%,χ~2=4.831,P=0.028);两组患者护理满意程度存在差异(Z=-2.032,P=0.042),其中观察组满意率显著高于对照组(97.06%vs 72.72%,χ~2=6.009,P=0.014)。结论延续护理能够显著改善脑卒中患者睡眠质量及神经功能康复,提高患者生活质量以及对护理满意度,值得临床推广。
Objective To explore the role of continuous nursing in improving sleep quality and promoting neurological functional rehabilitation of patients with cerebral stroke. Methods 67 patients with cerebral stroke who were admitted and treated in our hospital from May 2017 to February 2018 were selected.According to the random number table method,they were divided into the control group(33 cases) and the observation group(34 cases).Patients in the control group were given routine discharge guidance while patients in the observation group were given continuous nursing on the basis of the control group.They were all followed up for 6 months.The quality of life,sleep quality,neurological functional rehabilitation,compliance behavior and nursing satisfaction of patients were compared between two groups. Results After intervention,the scores of physical function,psychological function,social function and material life state of the two groups were all increased, and the scores in the observation group were significantly higher than those in the control group(P< 0.05).After intervention,the sleep quality scores of the two groups were decreased,and the scores of FMA and MBA were increased.The sleep quality scores of the observation group were significantly lower than those of the control group,the scores of FMA and MBA were significantly higher than those of the control group(P < 0.05).There was significant differences in the compliance between the two groups(Z=-2.063,P=0.039),and the compliance rate of the observation group was significantly higher than that of the control group(97.06% vs 75.76%,χ2=4.831,P=0.028).There was difference in nursing satisfaction degree between the two groups(Z=-2.032,P=0.042),and the satisfaction rate of the observation group was significantly higher than that of the control group(97.06% vs 72.72%,χ2=6.009,P=0.014). Conclusion Continuous nursing can significantly improve the sleep quality and neurological functional rehabilitation of stroke patients,improve the quality of life of patients and nursing satisfaction,which is worthy of clinical promotion.
Objective To explore the role of continuous nursing in improving sleep quality and promoting neurological functional rehabilitation of patients with cerebral stroke. Methods 67 patients with cerebral stroke who were admitted and treated in our hospital from May 2017 to February 2018 were selected.According to the random number table method,they were divided into the control group(33 cases) and the observation group(34 cases).Patients in the control group were given routine discharge guidance while patients in the observation group were given continuous nursing on the basis of the control group.They were all followed up for 6 months.The quality of life,sleep quality,neurological functional rehabilitation,compliance behavior and nursing satisfaction of patients were compared between two groups. Results After intervention,the scores of physical function,psychological function,social function and material life state of the two groups were all increased, and the scores in the observation group were significantly higher than those in the control group(P< 0.05).After intervention,the sleep quality scores of the two groups were decreased,and the scores of FMA and MBA were increased.The sleep quality scores of the observation group were significantly lower than those of the control group,the scores of FMA and MBA were significantly higher than those of the control group(P < 0.05).There was significant differences in the compliance between the two groups(Z=-2.063,P=0.039),and the compliance rate of the observation group was significantly higher than that of the control group(97.06% vs 75.76%,χ2=4.831,P=0.028).There was difference in nursing satisfaction degree between the two groups(Z=-2.032,P=0.042),and the satisfaction rate of the observation group was significantly higher than that of the control group(97.06% vs 72.72%,χ2=6.009,P=0.014). Conclusion Continuous nursing can significantly improve the sleep quality and neurological functional rehabilitation of stroke patients,improve the quality of life of patients and nursing satisfaction,which is worthy of clinical promotion.
引文
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[10]李洪波.延续护理对脑卒中患者睡眠质量及神经功能康复的影响[J].实用临床护理学电子杂志,2017,2(21):24-27.
[11]梁俊华,刘芬,王汉.针灸联合穴位按摩护理对脑卒中患者认知能力及神经功能恢复的影响[J].中国实用神经疾病杂志,2015,18(3):124-126.
[12]康馨匀,熊露宁,杨婧,等.延续化护理在脑卒中合并呼吸睡眠暂停综合征患者中的应用[J].中国实用神经疾病杂志,2014,17(18):126-127.
[13]王飞,陈晓云,闫秀琴,等.延续护理对脑卒中患者康复效果的随机对照试验[J].中国实用护理杂志,2016,32(19):1457-1461.
[14]席静文,张莹,董凤娇.延续性护理模式在脑卒中患者中应用的效果评价[J].中国实用护理杂志,2012,28(7):26-28.
[15]侯静,胡利娟,谢琰.耳穴压豆对脑卒中患者生存质量及睡眠质量的影响[J].中国当代医药,2017,24(30):111-113.
[16]陈伟飞.延续护理对脑卒中患者出院后独立生活能力和出院护理满意度的影响[J].中国医药科学,2016,6(5):154-156.
[2]马现英.延续性护理模式在脑卒中患者护理中的应用效果[J].河南医学研究, 2015,24(5):145-146.
[3]李彦丽,武如冰,张慧慧,等.优质护理服务的延续护理对脑卒中患者康复的影响[J].中国急救医学,2015,35(s2):376-377.
[4]李葆华,王艳,董玉静,等.缺血性脑卒中患者出院后延续性护理干预的效果研究[J].中国护理管理,2014,14(3):309-312.
[5]熊璐,罗淑平,吴艳,等.延续护理对脑卒中失语照顾者焦虑和抑郁状态的影响研究[J].重庆医学,2017,46(20):2875-2877.
[6]周宇光,徐伟华,伍艳玲.延续性护理干预在脑卒中患者中的应用及效果评价[J].中西医结合心血管病电子杂志,2016,4(20):137-138.
[7]杨红,朱世琼,李亚梅,等.延续护理对脑卒中患者睡眠质量及神经功能康复的影响[J].中国康复理论与实践,2015,21(12):1466-1470.
[8]周玲,赵颖,袁秀梅,等.延续性护理干预对老年缺血性脑卒中患者预后的影响[J].中国医药科学,2017,7(8):154-156.
[9]裴小玲.延续护理对脑卒中患者功能恢复和生活质量的影响[J].实用临床医药杂志,2015,19(23):219-220.
[10]李洪波.延续护理对脑卒中患者睡眠质量及神经功能康复的影响[J].实用临床护理学电子杂志,2017,2(21):24-27.
[11]梁俊华,刘芬,王汉.针灸联合穴位按摩护理对脑卒中患者认知能力及神经功能恢复的影响[J].中国实用神经疾病杂志,2015,18(3):124-126.
[12]康馨匀,熊露宁,杨婧,等.延续化护理在脑卒中合并呼吸睡眠暂停综合征患者中的应用[J].中国实用神经疾病杂志,2014,17(18):126-127.
[13]王飞,陈晓云,闫秀琴,等.延续护理对脑卒中患者康复效果的随机对照试验[J].中国实用护理杂志,2016,32(19):1457-1461.
[14]席静文,张莹,董凤娇.延续性护理模式在脑卒中患者中应用的效果评价[J].中国实用护理杂志,2012,28(7):26-28.
[15]侯静,胡利娟,谢琰.耳穴压豆对脑卒中患者生存质量及睡眠质量的影响[J].中国当代医药,2017,24(30):111-113.
[16]陈伟飞.延续护理对脑卒中患者出院后独立生活能力和出院护理满意度的影响[J].中国医药科学,2016,6(5):154-156.