综合护理干预对脑卒中患者生活质量的影响

The Effect of Integrated Nursing Intervention on Quality of Life of Stroke Patients

目的观察综合护理干预措施对脑卒中患者生活质量的影响效应。方法将89例脑卒中患者做为研究对象,于患者入院的当天开始介入综合护理干预,并根据患者病情的变化调整护理干预内容,使护理干预贯穿整个住院治疗过程,以及出院后的继续康复过程。干预内容包括病情评估,遵医嘱执行各项急救治疗措施、制定实施各项护理计划(包括舒适护理、预见性护理、自我管理教育、康复训练等)。并于患者入院时、出院时、出院后1个月和3个月各采用汉化版简明健康调查表(SF-36)对患者的生活质量进行评定。观察数据进行统计学处理,比较综合护理干预前后患者生活质量改善情况。结果综合护理干预的实施是否及时全面与患者生活质量的提高呈正相关。实施综合护理干预后,患者生活质量各维度得分均明显提高,其中生理机能(t=8.915,P<0.001))、躯体疾病(t=8.224,P<0.001)、精力(t=7.917,P<0.001)、社会功能(t=9.926,P<0.001)、精神健康(t=8.631,P<0.001)5个维度得分与干预前相比具有非常显著性差异,提示患者接受综合护理干预后,在生理机能、疾病及社会功能的恢复、精力和精神等方面相对处于较好状态,其余生理职能(t=4.613,P<0.01)、一般健康状况(t=4.032,P<0.01)、情感功能(t=4.101,P<0.01)与干预前相比具有显著性差异,显示处于良好的恢复趋势。结论对脑卒中患者及时实施综合护理干预,可不同程度地促进患者生理、心理和社会功能的康复,提高生活质量。

Objective To observe the effect of comprehensive nursing interventions on quality of life for stroke patients. Methods A total of 89 stroke patients accepted integrated nursing intervention on the day of admission,and were adjusted the content of nursing interventions according to their condition to,nursing interventions throughout the course of hospitalization, and continued after discharge rehabilitation process. Intervention included pre-condition assessment, implementation of the prescribed first-aid treatment, the care plan developed and implemented （including comfort care, nursing care,self-management education, rehabilitation, training,etc. ）. And in patients on admission,discharge,one month and three months after discharge,SF-36 was used to assess quality of life of patients. Results The implementation of an integrated nursing intervention was positively correlated to quality of life for patients,the various dimensions scores of patients quality of life were significantly improved compared to before the intervention （all P〈0.01）. Conclusion The timely implementation of integrated care after stroke intervention can significantly improve and enhance the quality of life.