以医院为基础社区相结合的延续性护理对脑卒中患者生活质量的影响

Effect of hospital- based continuing care combined with community on quality of life of stroke patients

目的：探讨以医院为基础社区相结合的延续性护理对脑卒中患者生活质量的影响。方法：选择2014年7月~2015年12月从上级医院经过治疗出院来社区的120例脑卒中患者为研究对象,并随机等分为干预组和对照组,对照组实施常规护理;干预组采用以医院为基础社区相结合的延续性护理进行康复护理干预,比较两组患者护理前后心理状态、日常生活能力及生活质量,并对护理质量满意度进行评价。结果：实施以医院为基础社区相结合延续护理后干预组患者的SAS、SDS得分均低于对照组（P〈0.05）,Barthel指数得分、各个生活质量维度得分均高于对照组,差异具有统计学意义（P〈0.05）。干预组患者对护理质量满意率高于对照组,但差异无统计学意义（P〉0.05）。结论：以医院为基础社区相结合的延续性护理在脑卒中患者中的应用可明显改善患者的负性情绪,提高患者的生活质量。

Objective ：To explore the impact of hospital - based continuing care combined with community nursing on quality of life of stroke patients. Meth- ods：Selected 120 stroke patients who were discharged fi＇om the superior hospital to the community after therapy dated from July 2014 to December 2015 as research objects and randomly divided them into intervention group and control group equally. The control group received routine nursing care. The intervention group was treated with hospital - based continuing care combined with community care to carry out rehabilitation nursing intervention. The psychological status, daily living ability and quality of life of the two groups were compared before and after nursing. And the satisfaction of nursing quality was evaluated. Results ： After the implement of hospital - based continuing care combined with community nursing, the scores of SAS and SDS of intervention group were significantly lower than those of control group, and the score of Barthel index was significantly higher than that of the control group （ P 〈 0.05 ）. The scores of the quality of life in the intervention group were significantly higher than those of the control group. The difference was of statistical significance （ P 〈 0.05 ）. The satisfaction rate of nursing intervention group was higher than that of control group, but the difference was not statistically significant （ P 〉 0.05 ）. Conclusion ： Hospital - based continuing care combined with community care in stroke patients can significantly reduce the negative emotions of pa- tients and improve the quality of life of patients.