全程康复护理干预对脑卒中偏瘫患者的效果观察

目的规范留置导尿管及其护理过程,降低留置导尿管患者的感染率。方法将73例留置导尿患者按住院号单、双分为对照组（38例）和实验组（35例）,对照组按无菌操作原则置尿管,置管后以常规方法进行护理;实验组应用六西格玛改进模式及失效模式测量、分析留置导尿管感染主要原因,改进置管及置管后护理操作流程。在留置导尿的3,5,7,14d对2组进行细菌采样记录。结果实验组第5、7天尿道口有菌率明显低于对照组（P〈0．05）;2组中段尿、尿袋接口处有菌率比较,差异无统计学意义（均P〉0．05）。结论应用六西格玛方法系统分析的留置导尿管感染原因准确,采取的控制感染措施有效,能有效降低留置导尿管感染风险,对降低留置导尿管感染率有效可行。

Effects of whole course rehabilitation nursing intervention for stroke patients with hemiplegia

Objective To explore the effects of whole course rehabilitation nursing intervention on stroke patients with hemiplegia, so as to provide evidence for the future nursing intervention for these pa-tients. Methods 92 stroke patients with hemiplegia were randomly assigned into the experimental group and the control group with 46 patients in each group. All patients in both groups received routine neurologic medical therapy and the routine care. The patients in the experimental group also received whole course re-habilitation nursing intervention including health assessment, rehabilitation consultation, health education before and after discharge and also received follow-up. Data were collected when the patients were in hos-pital within the first week and the following 3 months after discharge including the level of TC, TC, Hey, the ability of daily living, and the physical/psychological health evaluation. Results Compared with the con-trel group, the level of blood TC, TC, Hey decreased in the experimental group. In the experimental group, patients" scores of the physical health and mental health after the intervention were higher than those before the intervention. In the control group, the score in physical health domain increased compared with that be-fore intervention, but the score in psychological health domain remained unchanged. Conclusions The whole course rehabilitation nursing intervention designed by the investigator in the study can effectively de-crease the blood level of TC, TG, Hey of stroke patients, improve the ability of daily living and the quality of llfe of these patients.