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延续性护理对老年缺血性脑卒中患者的影响
引用本文:李静梅. 延续性护理对老年缺血性脑卒中患者的影响[J]. 继续医学教育, 2019, 33(7): 100-102
作者姓名:李静梅
作者单位:天津市第一中心医院国际诊疗中心,天津,300192
摘    要:目的研究对老年缺血性脑卒中患者实施延续性护理干预的效果.方法选取2017年3月—2018年9月在医院治疗后出院的老年缺血性脑卒中患者40例展开研究,按护理措施差异分为两组,对照组常规护理,观察组延续性护理干预,对比分析Barthel、Fugl-Meyer指数、复发情况、心理状况、服药依从性以及生活质量.结果护理后观察组Barthel、Fugl-Meyer指数均高于对照组,复发率5.0%;护理后观察组HAMA(22.36±2.11)分、HAMD(5.36±1.11)分,心理状况改善情况较对照组好;观察组总依从率95.0%,对照组70.0%;观察组生活质量较对照组好;上述数据对比差异均存在统计学意义(P<0.05).结论对老年缺血性脑卒中患者实施延续性护理干预效果较佳.

关 键 词:老年缺血性脑卒中  延续性护理干预  疾病复发  神经运动功能  日常生活活动能力  心理状况

Effect of Continuous Nursing on Elderly Patients With Ischemic Stroke
LI Jingmei. Effect of Continuous Nursing on Elderly Patients With Ischemic Stroke[J]. Continuing Medical Education, 2019, 33(7): 100-102
Authors:LI Jingmei
Affiliation:(International Medical Center,Tianjin First Central Hospital,Tianjin 300192,China)
Abstract:Objective To study the effect of continuous nursing intervention on elderly patients with ischemic stroke. Methods 40 elderly patients with ischemic stroke discharged from our hospital after treatment in a certain period of time were selected and divided into two groups according to the difference of nursing measures. The control group received routine nursing care and the observation group received continuing nursing intervention. Barthel, Fugl-Meyer index, recurrence, psychological status, medication compliance and quality of life were compared and analyzed. Results After nursing, Barthel and Fugl-Meyer index in the observation group were higher than those in the control group, and the recurrence rate of 5.0%. After nursing, the scores of HAMA (22.36±2.11) and HAMD (5.36±1.11) were significantly better than those of the control group. The improvement of psychological status was better than the control group. The total dependence rate was 95.0% in the observation group and 70.0% in the control group. The quality of life in the observation group was better than that in the control group. There was statistical significance between the above data (P < 0.05). Conclusion Continuous nursing intervention for elderly patients with ischemic stroke has better effect and is worth popularizing.
Keywords:senile ischemic stroke  continuing nursing intervention  disease recurrence  neuromotor function  activities of daily living  psychological status
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