急性缺血性脑卒中溶栓患者延续性护理方案的建立及其应用效果

Application Effect and Development of Continuous Nursing Plan in Patients with Acute Ischemic Stroke Treated by Thrombolysis

目的建立急性缺血性脑卒中患者延续护理的方案,并探讨其临床应用效果。方法便利抽样法选取2015年1-12月在上海市某三级甲等医院急诊科治疗的急性缺血性脑卒中溶栓住院患者89名研究对象。按随机数字表法将其分为观察组(n=48)和对照组(n=41)。对照组患者予以常规护理,而观察组患者在此基础上实施延续性护理方案。评价两组患者出院12周内的治疗依从性、生活质量和护理满意度。结果出院前2 d,两组患者生活质量评分、对护理的满意度评分差异均无统计学意义(均P>0.05);出院12周时,观察组和对照组患者的治疗依从性总分分别为(9.51±1.597)和(7.45士1.631)分,差异有统计学意义(￡=3.017,P<0.01),两组患者生活质量评分、对护理的满意度评分差异均有统计学意义(P<0.05或P<0.01)。结论延续性护理方案能有效提高出院患者的治疗依从性、生活质量及满意度,值得推广应用。

Objective To develop a continuous nursing plan for patients with acute ischemic stroke,and to dis-cuss its clinical application effect.Methods By convenience sampling,89 cases were selected and randomly divided into observation group （n=48）and control group （n=41）.The control group received routine nursing,while the observation group was applied with continuous nursing on the basis of control group.The compliance,quality of life and satisfaction level were evaluated within 1 2 weeks after discharged from hospital.Results There was no statisti-cal significance found of quliaty of life score and satisfaction level between two groups 2 days before discharged （all P〉0.05）.After 12 weeks intervention,the compliance score of observation group and control group were （9.51± 1.597）and（7.45±1.631）,respectively （t=3.017,P〈0.01）.The statistical significance of quality of life score and satisfaction level between two groups were found 12 weeks after discharged from hospital （P〈0.05 or P〈0.01）. Conclusions The continuous nursing plan can effectively improve the discharged patients’compliance,quality of life and satisfaction level,which is worth for clinical trial.