延续性护理对脑卒中出院患者康复的效果观察

目的 探讨延续性护理干预对脑卒中患者出院康复的临床效果。方法 选取本院选收治的176例首发脑卒中偏瘫患者为研究对象,据随机数表法,分为对照组和观察组,各组88例,对照组实施常规护理策略,观察组予以常规护理策略＋延续性护理;2组接受出院后为期6个月干预后,比较2组复发因素控制、神经功能缺损、生活自理能力、抑郁水平及遵医依从性。结果 观察组血压、空腹血糖、低密度脂蛋白和纤维蛋白原达标率显著高于对照组(P<0.05);在神经功能和生活自理方面,观察组恢复情况均显著优于对照组(P<0.05);抑郁水平却显著低于对照组(P<0.05);观察组遵医依从性也均显著优于对照组(P<0.05)。结论 延续性护理显著改善脑卒中出院患者神经功能,提高生活自理能力和遵医依从行为,降低抑郁水平,有效促进患者康复,值得推广应用。

Effect of transitional nursing intervention on rehabilitation of discharged patients with stroke

Objective To explore the effect of transitional nursing intervention on rehabilitation of discharged patients with stroke. Methods A total of 176 patients with first-episode stroke hemiplegia enrolled and treated in a hospital were selected as study objects. According to the random number table method, they were divided into a control group receiving the routine nursing and an observation group receiving the routine nursing and transitional nursing. There were 88 patients in each group. After 6 months of the intervention after they were discharged, the two groups were compared for the recurrence factor control, neurologic deficit, self-care ability, depression level and compliance. Results The rates of reaching the standard of blood pressure (BP), fasting blood glucose (FB), low density lipoprotein (LDL) and fibrinogen (FIB) in the observation group were significantly higher than those in the control group (P<0.05). In terms of neural function and self-care ability, the recovery of the observation group was significantly superior to that the control group (P<0.05). The depression level in the observation group was significantly lower than that in the control group (P<0.05). In terms of medical compliance, the observation group was also significantly superior to the control group (P<0.05). Conclusion The transitional nursing intervention significantly improves the neurological function of patients discharged from hospital after stroke, improves self-care ability and compliance behavior, reduces the level of depression and effectively promotes the rehabilitation of patients, and therefore, it is worthy of popularization and application.