临床护理路径在脑卒中二级康复患者中的应用效果

目的探讨临床护理路径在脑卒中二级康复患者中的应用效果。方法便利选取符合诊断标准的66例脑卒中后二级康复患者,按随机数字表法分为试验组34例和对照组32例。试验组应用临床护理路径方法进行护理,对照组则以内科护理常规进行护理。比较两组患者的肢体运动功能、日常生活活动能力、神经功能缺损程度及住院天数、住院费用和满意度。结果入院第2天,两组患者的肢体功能评分差异无统计学意义(P>0.05);入院第60天,试验组患者肢体运动功能和日常生活活动能力指数评分均高于对照组,神经功能缺损程度评分低于对照组,差异均有统计学意义(P<0.05或P<0.01)。试验组患者的平均住院日和平均住院费用均少于对照组,患者满意度得分高于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论按临床护理路径方法开展二级康复治疗护理,不仅对脑卒中患者的肢体康复有肯定的疗效,而且能达到在相同时间内使康复效果提高、医疗成本下降的效果,值得临床推广应用。

Effectiveness Evaluation of Clinical Nursing Path on Stroke Patients with Secondary Rehabilitation

Objective To observe the effectiveness of clinical nursing path on stroke patients with secondary rehabilitation. Methods Using convenience sampling method, sixty-six patients who met the diagnostic criteria of stroke were randomly allocated into experimental group and control group. The experimental group was given the nursing according to the clinical nursing path strictly and the control group was pro- vided with the regular nursing. Comparisons were conducted on limb motor functions, activities of daily living（ADL） ,neurological impairment,hospital stays , medical costs and hospital satisfactions of the two groups. Results No significant difference was observed on the scores of limb motor functions between the experimental group and the control group at admission and at the 2rd day of hospitalization（P〉0.05）. At the 60th day of hospitalization ,the scores of Fugl-Meyer motor assessment and modified Barthel index in the experimental group were significantly higher than those in the control group ;while the NIHSS score in the experimental group were significantly lower than that in the control group（P〈0.05 or P〈0.01）. Meanwhile,the hospital stays and average costs in the experimental group were significantly lower than those in the control group; the patients~ satisfaction in the experimental group were significantly higher than that in the control group（P〈0.05 or P〈0.01）. Conclusion The secondary rehabilitation by clinical nursing path has positive medium-term efficacy of physical rehabilitation of stroke patients and achieve enhanced rehabilitation effect and cost reduction, and thus worthy of clinical application.