家庭病床护理对脑卒中后偏瘫患者生活自理能力的影响

The influence of domestic sickbed nursing on life self- care ability of patients suffered hemiplegia after stroke

目的探讨家庭病床护理在脑卒中后偏瘫患者中的应用效果,分析其对患者生活能力的影响。方法选取2014年4月至2015年4月某社康中心的40例脑卒中后偏瘫患者为研究对象,根据护理措施的不同分为实施常规护理的对照组和实施家庭病床护理的观察组,干预6个月后,评估两组患者干预前后的生活能力及自理能力情况并比较。结果实施家庭病床护理的观察组患者的日常生活能力评分优良率为70%,明显高于常规护理对照组患者的35%,差异显著有统计学意义(P<0.05);出院6个月后,观察组患者的Barthel自理能力评分亦明显高于对照组患者,差异显著有统计学意义(P<0.05)。结论脑卒中后偏瘫患者实施家庭病床护理,能明显改善患者的生活质量,提高患者的自理能力,值得临床推广应用。

Objective To investigate the application effect of family ward nursing for patients with hemiplegia after stroke and analyze its effect on the patient＇s life ability. Methods Between April 2014 and April2014,80 patients with hemiplegia after stroke from a community recure center were selected as the research object,according to nursing method they were divided into control group（ adopt routine nursing care） and observation group（ implement domestic sickbed care intervention）,and 6 months later,the evaluation of life ability and the ability to self care of the two groups was conducted. Results The excellent and good rate of daily life ability score of observation group was 72. 5%,which was significantly higher than 37. 5% of the patients in routine nursing group,the difference was statistically significant（ P 0. 05）. Six months after discharge,self-care ability score of observation group also significantly higher than the control group, the difference was statistically significant（ P 0. 05）. Conclusions Implement domestic sickbed nursing in patients with hemiplegia after stroke,can significantly improve the quality of life of patients,improve the patient＇s self- care ability,worthy of clinical popularization and application.