护理干预对老年脑血管病患者家庭护理的影响

Influence of nursing intervention on family care of senile cerebrovascniar disease

目的探讨65周岁以上老年脑血管病患者家庭护理中的服务需求及存在的健康安全问题，为家庭护理提供方向和依据。方法以78例出院2年的老年脑血管病后遗症患者为研究对象，对患者和家属进行一对一的访谈，发放自制调查问卷，将患者服务项目需求及存在的主要健康安全问题进行整理，实施相应的护理干预，1年后再进行走访、问卷调查。结果老年患者家庭护理中存在诸多健康安全问题，护理服务需求高，经给予相应的护理干预健康指导，有效减少患者误吸、跌倒、坠床、压疮、睡眠障碍、尿路感染的发生情况。结论依据脑血管疾病老年患者对家庭护理的需求，制定符合我国具体实际的家庭护理模式，从而提高老年患者自理能力及生存质量。

Objective To investigate the service requirements and health and safety problems in home care among senile cerebrovascular disease patients above 65 years old and provide the direction and basis for the home care. Methods 78 cases of elderly patients with eerebrovascular sequela 2 years after discharge were selected as the research objects. One-on-one interviews with patients and their families, the self-made questionnaire were sent out, the patients＇ service item requirements and the main health and safety problems were reorganized, then the corresponding nursing intervention was implemented. One year later, patients were revisited and investigated again. Results In elderly patients, there were many health and safety issues in home care, their nursing service demand was high. After giving corresponding nursing intervention of health guidance, the incidence of aspiration, fall, falling out of bed, bedsore, sleep disorders, urinary tract infection was effectively reduced. Conclusions The mode of family care should be estab- lished on the basis of demand of home care by elderly cerebrovascular disease patients, which conforms to the ac-tual situation of our country, in order to improve patients＇ self-care ability and life quality.