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目的分析出院计划模式下综合护理对脑卒中患者自我效能及生活能力的影响。方法选取2012年12月—2014年12月收治的80例脑卒中患者作为研究对象,随机分为对照组与观察组各40例。对照组给予脑卒中常规护理,观察组接受出院计划干预联合综合护理。比较两组日常生活能力量表(activity of daily living scale,ADL)得分的改善情况及自我效能变化情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果末次随访时,观察组ADL得分为(91.41±5.32)分,与对照组的(59.88±5.98)分比较差异有统计学意义(P<0.05)。观察组出院后1、3个月及末次随访时自我效能评分分别为(60.78±2.77)、(63.55±3.79)、(64.56±2.15)分,与对照组的(47.44±1.76)、(45.13±2.92)、(42.44±3.47)分比较差异均有统计学意义(均P<0.05)。观察组再卒中率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论在脑卒中患者的干预中,采用出院计划下综合护理方式可提升患者自我效能,改善日常生活能力,降低再卒中率,有较高的临床推广价值。
Objective To analyze the effect of comprehensive nursing care on the self-efficacy and life-ability of stroke patients under the discharge planning mode. Methods Eighty stroke patients admitted from December 2012 to December 2014 were selected as study subjects and randomly divided into control group and observation group of 40 cases each. The control group was given conventional care of stroke, and the observation group received discharge planning intervention combined with comprehensive care. The improvement of ADL score and the change of self-efficacy were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results At the last follow-up, the ADL score of the observation group was (91.41 ± 5.32) points, which was significantly lower than that of the control group (59.88 ± 5.98) (P0.05). The scores of one, two and three months after discharge in the observation group were (60.78 ± 2.77), (63.55 ± 3.79) and (64.56 ± 2.15) points respectively, which were significantly lower than those in the control group (47.44 ± 1.76) and (45.13 ± 2.92), (42.44 ± 3.47) points were statistically significant differences (all P <0.05). The rate of restroke in the observation group was 2.50%, which was lower than that in the control group (20.00%), the difference was statistically significant (P <0.05). Conclusions In the intervention of stroke patients, the integrated nursing method under the discharge plan can improve patients’ self-efficacy, improve their daily living ability, reduce the rate of restroke and have a high clinical value.