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目的:探讨对脑卒中患者开展家庭护理干预与康复指导的措施和价值。方法:选择脑卒中患者68例,均为衢州市第三医院神经内科2014年6月~2016年6月收治,随机分组,就常规护理(对照组34例)与加强家庭护理干预和康复指导(观察组34例),比较两组患者的治疗效果。结果:两组脑卒中患者干预前Barthel指数评分、NIHSS评分差异不明显(P>0.05),干预后Barthel指数评分均有升高,NIHSS评分均有降低,但观察组升高和降低幅度较对照组更为显著(P<0.05)。两组脑卒中患者干预前抑郁情绪评分无差异(P>0.05),干预后均有程度不等降低,观察组幅度较对照组更为显著(P<0.05)。结论:对脑卒中患者,在出院后行完善的家庭护理干预,并加重康复指导,可改善神经功能缺损情况,提高日常生活活动能力,消除患者不适心理,对获取良好预后,增强远期生活质量意义显著。
Objective: To explore the measures and values of home nursing intervention and rehabilitation guidance for stroke patients. Methods: Sixty-eight stroke patients were selected, all of whom were admitted to Department of Neurology, Third Hospital of Quzhou from June 2014 to June 2016 and were randomly divided into two groups: conventional nursing (control group, 34 cases) and intensive home nursing intervention and rehabilitation guidance Observation group 34 cases), the treatment effect of two groups of patients were compared. Results: Barthel index score and NIHSS score before stroke were not significantly different between the two groups (P> 0.05). Barthel index score increased and NIHSS score decreased after intervention, but the increase and decrease range of the observation group was higher than that of the control group Group was more significant (P <0.05). There was no difference in depression score between the two groups before intervention (P> 0.05), and the degree of depression was notably lower in the two groups after stroke than in the control group (P <0.05). Conclusion: For stroke patients, perfect home-care intervention after discharge and aggravating rehabilitation guidance can improve the neurological deficit, improve the ability of activities of daily living, eliminate the patients’ discomfort, gain good prognosis and enhance long-term quality of life Significant significance.