延续性护理模式在脑卒中患者中应用的效果评价

Clinical application of continuity care model in stroke patients

目的探讨延续性护理模式在脑卒中患者中的临床应用效果。方法选取2008年6月至2011年6月收治的脑卒中患者58例，根据区组化随机分组法将入选病例分成研究组和对照组各29例。对照组患者给予一般常规护理干预措施，研究组患者则在此基础之上加用延续性护理干预模式，并对2组患者的日常生活活动能力、遵医行为、生活质量、护理满意度等相关指标进行比较分析。结果研究组与对照组患者相比，在出院时的日常生活活动能力未呈现显著改善，而在患者出院后第1，3，6个月时的日常生活活动能力较对照组显著提高；研究组患者按时服药、按时锻炼、按时复诊、合理饮食等遵医行为均较对照组显著改善；研究组患者在出院时的生活质量评分未呈现显著改善，而在患者出院后的第3个月，其生活质量评分显著高于对照组；研究组患者对医护人员的素质以及服务态度和服务内容的满意程度均显著高于对照组。结论延续性护理模式对于改善脑卒中患者的日常生活活动能力、遵医行为、生活质量、护理满意度均具有十分重要的现实意义，值得进一步的临床应用和推广。

Objective To probe into the clinical application effect of continuity care model in stroke patients. Methods 58 patients with stroke in our hospital during June 2008 to June 2011 were selected. According to block randomization method, the selected patients were divided into the study group and the control group with 29 patients in each group. The control group received routine care interventions, while patients in the study group was given routine care interventions plus continuity care model. Activities of daily living, compliance behavior, quality of life, nursing satisfaction degree and other related indicators of patients in two groups were comparatively analyzed. Results Compared with the control group, the activities of daily living of the study group at discharge did not show significant differences, while 1 month, 3 months, 6 months after discharge, the activities of daily living was significantly increased. Regular medication, exercise time, timely return visit, proper diet and other indicators of compliance behaviors were significantly improved. The quality of life score did not show significant differences at discharge, while 3 months after discharge, the quality of life score were significantly higher in the study group than that of the control group. The satisfaction degree of patients was significantly higher in the study group than that of the control group. Conclusions Application of continuity care model in stroke patients can improve activities of daily living, compliance behavior, quality of life, satisfaction degree with nurses. It＇s worthy of further clinical application and promotion.