延续性护理在降低肌萎缩侧索硬化症患者出院后并发症中的作用

目的探讨延续性护理在降低肌萎缩侧索硬化症(amyotrophic lateral sclerosis,ALS)患者出院后并发症发生的作用。方法选择2005年2月-2007年1月在本科室住院44例ALS患者为实验组,选择2003年1月-2005年1月在本科室住院35例ALS患者为对照组,两组患者在住院期间均接受相同的ALS常规护理,包括加强预防坠积性肺炎、摔倒和压疮发生的技能培训,实验组在此基础上进行出院后的延续性护理指导及服务。结果延续性护理后,实验组患者在吸入性肺炎、摔倒和压疮并发症发生率较对照组低,经统计学分析,均P<0.05,差异具有统计学意义。结论有效开展延续性护理教育和服务,对提升患者和家属的护理意识和技能,降低出院后患者并发症的发生,提高患者的生活质量具有重要的意义。

Objective To explore the function of continuous nursing in amyotrophic lateral sclerosis （ALS） patients after they are discharged from hospital. Methods Forty-four ALS patients who were discharged from hospital in the year from February 2005 to January 2007 were chosen as the experiment group, and the patients who were discharged from hospital in the year from January 2003 to January 2005 were chosen as the control group. Both groups received the same conventional nursing during hospitalization. The experiment group strengthened the skills training in the prevention of aspiration pneumonia, falls and pressure scores. In addition to this, the experiment group received continuous nursing after being discharged from hospital. Result The occurrence of complication such as aspiration pneumonia, falls and pressure scores were significantly lower in the experiment group than those in the control group. Conclusion Effectively carrying out the continuous nursing education and services at home is of great significance for enhancing the awareness and skills of patients and their family members, reducing the occurrence of complication and elevating the quality of patients＇ life.