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目的探讨延续护理干预对脑卒中出院患者治疗依从性的影响。方法选取临汾市人民医院老年病科2015年1月—2016年3月收治的脑卒中患者108例,随机分为对照组和观察组,各54例。对照组患者给予常规护理,观察组患者给予延续护理干预。比较两组患者出院后治疗依从性(用药、康复训练、定期复诊),出院前及出院3个月后的生活能力、生活质量评分(躯体功能、心理功能、社会功能及物质功能)及护理满意度。结果观察组患者出院后用药、康复训练、定期复诊依从性评分高于对照组(P<0.05)。出院前,两组患者Barthel评分比较,差异无统计学意义(P>0.05);出院3个月后,观察组患者Barthel评分高于对照组(P<0.05)。出院前,两组患者躯体功能、心理功能、社会功能及物质功能评分比较,差异无统计学意义(P>0.05);出院3个月后,观察组患者躯体功能、心理功能、社会功能及物质功能评分高于对照组(P<0.05)。观察组患者护理满意度高于对照组(P<0.05)。结论对脑卒中出院患者实施延续护理干预,可有效提高患者出院治疗依从性,改善患者的日常生活能力及生活质量,且护理满意度高。
Objective To investigate the effect of extended nursing intervention on treatment compliance in patients discharged from stroke. Methods A total of 108 stroke patients admitted to the Department of Geriatrics, Renmin Hospital of Linfen City from January 2015 to March 2016 were randomly divided into control group and observation group, with 54 cases in each group. Patients in the control group were given routine care and patients in the observation group were given continuous nursing intervention. The patients’ compliance with the treatment (medication, rehabilitation training, regular follow-up) after discharge from hospital, life expectancy and quality of life scores (physical function, psychological function, social function and substance function) and satisfaction with nursing care before discharge and 3 months after discharge degree. Results The patients in the observation group discharged from the hospital after treatment, rehabilitation training, regular follow-up compliance scores were higher than the control group (P <0.05). Before discharge, the Barthel score of the two groups had no significant difference (P> 0.05). After 3 months of discharge, the Barthel score of the observation group was higher than that of the control group (P <0.05). Before discharge, there was no significant difference between the two groups in physical function, mental function, social function and material function score (P> 0.05). After discharged for 3 months, physical function, psychological function, social function and substance Function score higher than the control group (P <0.05). The nursing satisfaction of the observation group was higher than that of the control group (P <0.05). Conclusions The continuous nursing intervention on patients discharged from stroke can effectively improve the compliance of patients discharged from hospital, improve their daily living ability and quality of life, and their nursing satisfaction is high.