分层护理干预对脑卒中患者生存质量和幸福感的影响

目的探讨护理干预对急性脑卒中患者主观幸福感与生存质量的影响。方法将120例脑卒中患者随机分为对照组和干预组各60例,对照组采用常规门诊药物治疗和康复治疗,干预组除常规治疗外,还采用护理干预。包括医院护理干预、家庭护理干预及社会护理干预。对2组患者的主观幸福感采用纽芬兰纪念大学幸福感量表（MUNSH）进行评价,对2组患者干预前后的生存质量采用世界卫生组织制定的生存质量测定量表（WHO-QOL-100）进行比较分析。结果干预后干预组患者的主观幸福感总评分明显高于对照组,与对照组相比,经护理干预后干预组患者生存质量评分明显提高。结论社康分层护理干预（包括医院、家庭、社会）护理干预能够有效地提高患者的主观幸福感及生存质量。

Stratification of nursing intervention on quality of life in stroke patients and Well-being

Objective To study the nursing intervention on subjective well-being in patients with acute stroke and the quality of life. Methods 120 stroke patients were randomly divided into control and intervention group,with 60 patients in control group with routine out-patient drug treatment and rehabilitation,the interven-tion group than conventional treatment,but also by nursing intervention. Intervention,including hospital care, home care intervention and social care intervention. 2 groups patients on the subjective well-being happiness Memorial University of Newfoundland Scale （ MUNSH） evaluation,2 groups patients on the quality of life before and after intervention developed by the World Health Organization Quality of Life Scale （ WHO-QOL-100） com-parative analysis. Results The of intervention group,subjective well-being of patients with total score was sig-nificantly higher,compared with the control group,the intervention group,by the care of patients quality of life score improved significantly. Conclusion Community stratified care interventions （ including hospitals,fami-ly,social） Nursing intervention can improve the patient’s subjective well-being and quality of life.