基于个体化需求的护理随访在首发脑卒中患者恢复期的应用

目的 探究基于个体化需求的护理随访对首发脑卒中患者恢复期的作用效果。方法 采用便利取样的方法，本研究选取2017年6月——2017年12月期间纳入的30首发脑卒中患者为对照组，以2018年1月——2018年6月期间纳入的30例首发脑卒中患者为实验组，对照组接受常规随访，试验组接受基于个体化需求的护理随访。比较干预前后两组患者卒中知识知晓率、残疾接受度、医学应对方式以及焦虑抑郁程度。结果 干预后，试验组患者医学应对方式，卒中知识、残疾接受度以及焦虑抑郁情绪均显著改善，两组相比，差异有统计学意义（P<0.05)；此外，就运动依从性而言，出院第一周，同基线相比两组患者的运动依从性均有所上升，但两组间相比，差异无统计学意义（P>0.05)，而在一个月、三个月、六个月时，试验组患者的依从性显著优于对照组，差异有统计学意义（P>0.05)。 结论 基于个体化的护理随访可显著提高患者卒中知识掌握情况，改善患者的焦虑抑郁症状，提高患者的残疾接受度，改善患者的医学应对方式，进而加速患者康复进程。

Application of Nursing Follow-up based on Individualized Needs in the Recovery Period of First Stroke Patients

Abstract Objective To explore the effect of nursing follow-up based on individual needs on the recovery period of first-onset stroke patients. Methods A convenient sampling method was used. In this study, 30 first-onset stroke patients included from June 2017 to December 2017 were selected as the control group, and 30 first-onset stroke patients included from January 2018 to June 2018 were selected as the control group. Stroke patients were in the experimental group, the control group received routine follow-up, and the experimental group received nursing follow-up based on individual needs. The awareness rate of stroke knowledge, disability acceptance, medical coping style and anxiety and depression degree of the two groups were compared before and after the intervention. Results After the intervention, the experimental group patients'' medical coping style, stroke knowledge, disability acceptance, anxiety and depression mood were all significantly improved, and the difference between the two groups was statistically significant (P<0.05); in addition, in terms of exercise compliance, In the first week of discharge, the exercise compliance of the two groups of patients increased compared with the baseline, but the difference between the two groups was not statistically significant (P>0.05), while in one month, three months, six months At the end of the month, the compliance of the test group was significantly better than that of the control group, and the difference was statistically significant (P>0.05). Conclusion The individualized nursing follow-up can significantly improve the patient''s knowledge of stroke, improve the patients'' anxiety and depression symptoms, increase the patient''s disability acceptance, improve the patient''s medical coping style, and accelerate the patient''s recovery process.