延续护理对脑梗塞出院患者治疗依从性的影响

目的探讨延续护理干预对脑梗塞出院患者治疗依从性的影响。方法将2012年6月—2014年5月老年病科收治的共80例脑梗塞患者根据出院日期分为干预组和对照组。对照组患者只给予常规出院指导,干预组患者在出院后进行常规出院指导的基础上,给予延续性护理,例如建立档案和出院随访跟踪表,根据患者的情况对其进行个体化的健康教育与指导,包括掌握正确的用药方法,功能锻炼,合理控制饮食,测量生命体征等遵医情况。出院后2个月收集并比较2组患者的饮食控制、运动及药物治疗、再次入院的依从性和治疗效果。结果干预组和对照组患者饮食控制依从性分别是80%（32例）和55.26%（21例）;运动治疗依从性分别是75%（30例）和47.36%（18例）,干预组高于对照组,差异有统计学意义（P〈0.05）;药物治疗依从性分别是100%（40例）和63.16%（24例）;患者再次住院率分别是20%（8例）和31.5%（12例）,干预组低于对照组,差异有统计学意义（P〈0.05）。结论延续护理能有效提高脑梗塞出院患者治疗依从性,使其再次住院率降低,提高患者和家属满意度,所以延续护理对减少脑梗塞并发症,提高生活质量具有重要意义。

Effects of transitional care on therapy compliance in discharged patients with cerebral infarction

Objective To explore the effect of effects of transitional care on the therapy compliance in discharged patients with cerebral infarction. Methods A total of 80 cases of cerebral infarction admitted from June,2012 to May,2014 were divided into intervention group and control group. The routine discharge guidance was given to the controlled patients, while the patients in intervention group received additional transitional care, such as the establishment of archives and fol- low-up tracking table, individualized health education and guidance including correct directions of drugs, functional excise and right control of diet, measurement of life signs and other conditions which the doctors asked. The data of therapy com- pliance and effects, diet control, movement and drug therapy were compared 2 months after the patients discharged from the hospital between the two groups. Results The compliance of diet control in intervention group and control group pa- tients were 80% （32 cases） and 55.26% （21 cases）, respectively. The motion therapy compliance was 75% （30 cases） and 47.36% （18 cases） ,which was higher in the intervention group than that of the control group ,the difference was sta- tistically significant （P 〈 0.05 ）. The drug therapy compliance were 100% （ 40 cases ） and 63.16% （ 24 cases）, respec- tively. The readmission rates were 20% （8 cases） and 31.5 % （ 12 cases）, which was lower in the intervention group than that of the control group. The difference was statistically significant （P 〈 0.05）. Conclusion Transitional care can effec- tively raise the therapy compliance of the discharged patients with brain infarction and reduce the readmission rates. The satisfactory degree of the patients and their families is also raised. So transitional care is very important to decrease the complications of cerebral infarction and raise the life quality.