延续性护理对脑卒中患者生活质量及心理状况的影响

Influences of continuous nursing on life quality and psychologic status in stroke patients

目的探讨实施延续性护理对脑卒中患者生活质量及心理状况的影响。方法选择2014年6月—2015年3月浙江省温州康宁医院符合纳入标准的脑卒中患者72例，对照组采用常规护理措施，试验组在常规护理的基础上实施延续性护理，比较两组患者干预前后康复依从性、生活质量、抑郁、焦虑状况的差异。结果实施延续护理3个月后，试验组院外康复依从性总分为（10．86±1．4）分，总分及各项目评分均高于对照组，差异有统计学意义（P〈0．05）；试验组生活质量总分为（313．6±19．8）分，总分及各项目评分均高于对照组，除社会信仰外，差异有统计学意义（P〈0．05）；试验组焦虑和抑郁评分低于对照组，差异有统计学意义（P〈0．05）。结论延续性护理可明显改善脑卒中患者的焦虑、抑郁症状，提高生活质量，促进患者院外康复。

Objective To investigate the effects of continuous nursing on life quality and psychologic status of stroke patients. Methods A total of 72 standard stroke patients in Wenzhou Kangning Hospital since June 2014 to March 2015 were separated into experimental and control group. Routine nursing Care was given to patients in the control group. In terms of experimental group, continuous nursing was carried on the basis of routine nursing. Rehabilitation compliance, life quality and psychological conditions were compared between two groups. Results After 3 months implementation of continuous nursing, the total sore of rehabilitation compliance of experimental group were （ 10.86 ± 1.4）, total and item scores were higher than that in the control group （P 〈0.05） ; life quality sore of experimental group were （313.6 ±19.8）, the total and item scores were higher than that in the control group except for social beliefs （ P 〈 0.05 ） ; scores of depression and anxiety in the experimental group were lower than that in the control group （ P 〈 0.05 ）. Conclusions Continuous nursing, as a way of nursing care, significantly relives patients＇ depression and anxiety, which contributes to improving life quality and recovery of stroke patients.