截瘫患者出院后自我护理15例效果观察

Observation of the effect of self-care on 15 paraplegic patients after being discharged from hospital

目的：探讨截瘫患者出院后的自我护理对其生活质量的影响。方法：将30例截瘫患者随机分为A、B两组，每组各15例。住院期间，两组均接受截瘫常规治疗，于病情平稳2—3d后出院，出院时均给予一般出院指导，A组在此基础上予以系统规范的自我康复及家庭护理指导。于出院时及出院后1个月、3个月时进行随访，以FIM评分、常见并发症发生比例作为对照指标，比较两组患者的生活质量。结果：A组与B组相比，在出院后1个月和3个月时各对照指标均有所改善，差异具有统计学意义（P〈0．05）。结论：截瘫患者出院后进行必要的家庭自我康复与护理知识的指导可以提高患者的生活质量。

Objective： To explore the effect of self - care on the quality of life of paraplegic patients after they were discharged from hospital. Methods： 30 paraplegic patients were randomly divided into group A and B （ 15 cases for each group ）. The routine treatment was given to the paraplegic patients in the duration of hospitalization. The patients were discharged from hospital when their conditions were stable for 2 -3 days and general guidance on the discharge was provided for them. The patients in the group A were additionally given systematic and standard guidance on self - care and home nursing care. The follow - up was conducted when the patients were discharged from hospital and after they were discharged from hospital for one and 3 months, and the quality of life of the patients were compared between the two groups by FIM scores and such control indicators as the incidence of common complications. Results ： The difference in the comparison of the improvement of each control indicators was statistically significant between the two groups after the patients were discharged from hospital for one and 3 months （P 〈 0. 05 ）. Conclusion ： The necessary guidance on self rehabilitation care and home nursing care can improve the quality of life of the paraplegic patients after they were discharged from hospital.