上门指导护理对社区脑卒中后遗症患者康复效果影响

Influence of rehabilitation of nursing home guide to patients with sequelae of stroke in community

目的探讨在社区脑卒中后遗症患者中开展上门指导护理的效果。方法以我社区112例脑卒中后遗症患者为研究对象,随机分为上门指导组和常规指导组,所有患者均进行常规护理,上门指导组患者增加上门指导护理项目,比较两组患者康复效果、功能恢复情况和对医护服务的满意度之间的差异。结果上门指导组患者Barthel指数和NIHSS计分皆显著高于常规指导组(P<0.05)。功能康复情况优于常规指导组,对医护的满意度高于常规指导组,其差异皆有统计学意义(P<0.05)。结论上门指导护理可以对脑卒中后遗症患者的康复起到积极作用,并提高其对于社区医疗服务的满意度。

Objective To explore the effect of nursing home guide to patients with sequelae of stroke in community. Methods 112 cases of patients with sequelae of stroke in our community were selected as the study objects. They were randomly divided into site guidance group and conventional guidance group. All the patients were treated with routine care. On the basis of this, patients in site guidance group were also treated with home care program guide. Rehabilitation, functional recovery and satisfaction with health care services of the two groups were compared.Results Barthel index and NIHSS scores of patients in site guidance group were all higher than those of conventional guidance group（P 0.05）. Functional rehabilitation of site guidance group was better than that of conventional guidance group. Satisfaction of health care of site guidance group was higher than that of conventional guidance group. All the differences were statistically significant（P 0.05）. Conclusion Nursing home guide plays an active role to the rehabilitation of patients with sequelae of stroke, and can improve their satisfaction with community health services.