医院-社区-家庭三位一体护理干预对脑梗死患者负性心理、神经功能恢复及生活质量的影响

Influence of hospital-community-family integrated nursing intervenes on negative psychological,neural functional recovery and quality of life of patients with cerebral infarction

目的探讨医院-社区-家庭三位一体护理干预对脑梗死患者负性心理、神经功能恢复以及生活质量的影响。方法选取苏州大学附属第二医院收治的116例脑梗死患者,随机分成观察组与对照组,各58例。对照组患者给予常规护理与指导,观察组在此基础上进行医院-社区-家庭三位一体护理干预。比较两组患者护理前后神经功能、不良情绪、生活质量等改善情况。结果护理6个月后,观察组患者神经功能缺损评分量表评分为(5.97±2.98)分,显著性低于对照组的(8.35±2.76)分,差异有统计学意义(P<0.05);观察组患者独立生活能力量表指数评分为(69.90±3.47)分,显著性高于对照组的(66.77±2.91)分,差异有统计学意义(P<0.05);观察组患者抑郁自评量表评分为(41.8±7.2)分,均显著性低于对照组的(49.3±8.7)分,差异有统计学意义(P<0.05);观察组患者焦虑自评量表评分为(39.7±9.5)分,均显著性低于对照组的(49.0±9.2)分,差异有统计学意义(P<0.05);观察组患者各项生活质量评分均显著性高于对照组,差异有统计学意义(P<0.05)。结论对脑梗死患者进行医院-社区-家庭三位一体的护理模式,能够提高患者的日常生活活动能力,减少患者抑郁、焦虑等负面情绪的发生,提高患者的康复效果与生命质量。

Objective To integrative the influence of hospital-community-family integrated nursing intervenes on nega-tive psychological, neural functional recovery and quality of life of patients with cerebral infarction. Methods 116 pa-tients with cerebral infarction from the 2nd Affiliated Hospital of Suzhou University were divided into the observed group and the control group, each with 58 cases. Patients in the observed group received hospital-community-family integrated nursing intervenes after treatment, while others received the traditional nursing mode after treatment. The negative psychological, neural functional recovery and quality of life of both groups were analyzed and compared. Re-sults After nursing of 6 months, the NIHSS score of the observed group was （5.97±2.98） scores, which was significantly lower than （8.35±2.76） scores of the control group （P〈 0.05）; while the BI score of the observed group was （69.90±3.47） scores, which was significantly lower than （66.77±2.91） scores of the control group （P〈 0.05）. After nursing, the SDS and SAS scores of the observed group was （41.8±7.2） and （39.7±9.5） scores, which were significantly lower than （49.3±8.7） and （49.0±9.2） scores of the control group （P〈0.05）. The quality of life scores of the observed group were all significantly higher than those of the control group （P〈0.05）. Conclusion The hospital-community-family integrat-ed nursing intervenes can improve the patients＆#39; daily life activities ability, reduce the happening rate of negative psy-chological and improve the rehabilitation effect and quality of life of patients.