延续护理对颈动脉狭窄伴认知功能障碍患者生活质量的影响

Continuing Nursing Care Affecting the Quality of Life for Patients Suffered With Carotid Stenosis and Cognitive Impairment

目的探讨延续护理干预对老年颈动脉狭窄伴有认知功能障碍患者生活质量的影响。方法采用简明智能状态量表(MMSE)进行神经心理测查以及采用QOL-C30问卷对患者的生活质量进行调查,筛选79例颈动脉狭窄≥50%并伴有认知功能障碍的患者为样本。将79例颈动脉狭窄伴有认知功能障碍患者根据护理方案的不同分为研究组40例与对照组39例。对照组采用常规的护理措施及出院指导,研究组在此基础上给予积极的延续护理措施。比较两组患者出院后用药依从性,出院1年后的生活质量评分及认知功能评分。结果研究组用药依从性,出院1年后生活质量评分及认知功能评分均显著优于对照组(P<0.05)。结论延续护理对提高颈动脉狭窄伴有认知功能障碍患者出院后用药依从性、生活质量及认知功能有积极作用,值得临床普及推广。

Objective To explore the effect of continuing nursing care in patients with carotid stenosis complicated with cognitive impairment. Methods We adopted minimum mental state examination （MMSE） and quality of Life-C30 （QOL-C30） to assess the patients＇ mental states and quality of life. There were 79 patients, whose carotid stenosis rate more than 50%, ill with cognition impairment, had been chosen. According to different nursing treatment, they had been separated into two groups, which had 40 patients in the research group and 39 in the control. The patients in the control group got ordinary nursing guidance in the duration of hospital and discharge instruction before leaving it, while patients in the research group received continuing nursing care. In the end, the drug therapy compliance, quality of life and MMSE records were evaluated between the groups one year after discharge. Results The research group had got better medication compliance, better quality of life and higher scores of MMSE compared to the control group （P〈0.05）. Conclusions Continuing nursing care has positive and effective influence on drug therapy compliance, quality of life and MMSE records for the carotid artery stenosis patients suffered cognition impairment, which is worthy of clinical promotion.