以家庭照护者需求为导向的出院准备计划在脑卒中患者中的应用研究

Effect of family caregivers demand-oriented discharge planning program on stroke patients

目的:探讨以家庭照护者需求为导向的出院准备计划在脑卒中患者中的应用效果。方法:92例脑卒中患者随机分为观察组和对照组各46例,观察组家庭照护者给予以家庭照护者需求为导向的出院准备计划,对照组则对家庭照护者不进行特殊干预。比较2组家庭照护者出院准备度、患者出院期间照护情况以及患者生活质量。结果:2组出院后1周、1个月和2个月家庭照护者出院准备度与出院当日比较,均明显提高(P<0.05),且观察组各时间点明显高于对照组(P<0.05)。出院后,观察组在患者照护结果各条目评分上明显优于对照组(P<0.05)。观察组出院后1周、1个月和2个月患者生活质量与出院当日及对照组比较均明显提高(P<0.05),对照组出院后各时间点比较差异无统计学意义。结论:以家庭照护者需求为导向的出院准备计划的实施能够提高家庭照护者的准备度,改善出院后患者照护结果,提升患者的生活质量,值得推广应用。

Objective： To explore the effect of family caregivers demand-oriented discharge planning program on stroke patients. Methods： Ninety-two stroke patients were randomly divided into observation group and control group according to the random number table （n=46 cases each）. The participants in observation group were given family caregivers demand oriented discharge planning program, and the family caregivers in control group were not given special intervention. The caregivers discharge readiness, the quality of patient care, and the result of living quality were compared between the two groups. Results： Compared with the same day discharge, the family caregiv- ers readiness of the two groups at 1st week, 1st month and 2nd month after discharge all showed a trend of increase gradually （P〈0.05）, and the observation group was obviously higher than that of the control group at each time point （P〈0.05）. After discharge, patient care scores in the observation group were significantly higher than in the control group （P〈0.05）. The living quality was significantly improved in observation group as compared with the control group at 1st week, 1st month and 2nd month after discharge （P〈0.05）, and there was no significant differ- ence in the control group at different time points after discharge. Conclusion： The family caregivers demand-oriented discharge planning program can improve caregivers discharge readiness, the quality of patient care and the result of living quality, so it is worth to be popularized and applied clinically.